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Ye Olde Medicine Shoppe

Ye Olde Medicine Shoppe is a health care provider in Park River, ND. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 503 Park St W, Park River, ND 58270-4137, US
Practice Location Phone701-284-7676
Practice Location Fax701-284-6129
Other Organization NameYE OLDE MEDICINE CENTER
Other Organization Name TypeDoing Business As Name
NPI ?1720020324
Entity TypeOrganization
Enumeration Date ? Jun 11, 2006
Last Update Date ? Jul 19, 2018
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Ye Olde Medicine Shoppe

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical Supplies
PharmacyLong Term Care Pharmacy
PharmacyCommunity/Retail Pharmacy PHAR59North Dakota

legacy-id-icon Legacy Provider IDs of Ye Olde Medicine Shoppe

Provider IdIssuer StateIssuer TypeIssuer
20668North DakotaMedicaid

official-icon Authorized Official of Ye Olde Medicine Shoppe

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Ye Olde Medicine Shoppe's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Laurie Larson (RPH)
Authorized Official Title/PositionPRESDIENT
Authorized Official Phone Number701-284-7676