Organization

Md Pharmacy Llc

May also be knows as M-d Pharmacy

Community/Retail Pharmacy in Fargo, ND(View on Map)

Legal Business Name

Md Pharmacy Llc

Also Known As

M-d Pharmacy

NPI Number

1396184750

NPI Type

Organization

Enumeration Date

06/19/2013

Specialties

(Taxonomies)

Code

3336C0003X

Primary Taxonomy

Yes

Licenses

State

North Dakota

License Number

PHAR843

Contact
Information

Purpose

Mailing
Location

Address

4101 13TH AVE S
4101 13TH AVE S STE S

City

Fargo
Fargo

State

ND
ND

Postal Code

58103-3342
58103-2108

Country

US
US

Telephone Number

(701) 364-5690
(701) 364-5690

Authorized Official

Name

Dr. Dustin Groff

Title or Position

OWNER / PHARMACIST

Telephone Number

(701) 364-5690

Identifiers

Identifier

21608

Identifier State

ND

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/18/2021

Provider Address

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