Southtown Econodrug, Inc.
Community/Retail Pharmacy in Wahpeton, ND(View on Map)
Legal Business Name
Southtown Econodrug, Inc.
NPI Number
1710977897
NPI Type
Organization
Enumeration Date
10/28/2005
Specialties
(Taxonomies)Licenses
State
North Dakota
License Number
152
Contact
Information
Purpose
Mailing
Location
Address
387 11TH ST S
387 11TH ST S
City
Wahpeton
Wahpeton
State
ND
ND
Postal Code
58075-4653
58075-4653
Country
US
US
Telephone Number
(701) 642-2336
(701) 642-2336
Authorized Official
Name
Paula Mcdonald
Title or Position
PRESIDENT
Telephone Number
(701) 642-2336
Identifiers
Identifier
21128
9167120
091062700
0776850001
Identifier State
ND
SD
MN
ND
Identifier Issuer
Unknown
Unknown
Unknown
MEDICARE PART B NSC#
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/06/2012
Provider Address
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