Provider Demographics
NPI:1124238472
Name:NORTH DAKOTA PHARMACY SERVICE CORPORATION
Entity type:Organization
Organization Name:NORTH DAKOTA PHARMACY SERVICE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SCHWAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-258-4968
Mailing Address - Street 1:1661 CAPITOL WAY STE 102
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-5600
Mailing Address - Country:US
Mailing Address - Phone:701-258-4968
Mailing Address - Fax:701-258-9312
Practice Address - Street 1:1661 CAPITOL WAY STE 102
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-5600
Practice Address - Country:US
Practice Address - Phone:701-258-4968
Practice Address - Fax:701-258-9312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty