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.
|Practice Location||503 Park St W, Park River, ND 58270-4137, US|
|Practice Location Phone||701-284-7676|
|Practice Location Fax||701-284-6129|
|Legal Business Name||YE OLDE MEDICINE SHOPPE|
|Other Organization Name||YE OLDE MEDICINE CENTER|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Jun 11, 2006|
|Last Update Date ?||Jul 18, 2016|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Durable Medical Equipment & Medical Supplies||Suppliers|
|Pharmacy||Suppliers||Community/Retail Pharmacy||PHAR59||North Dakota|
|Pharmacy||Suppliers||Long Term Care Pharmacy|
|Provider Id||Issuer State||Issuer Type||Issuer|
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/Position||PRESDIENT|
|Authorized Official Phone Number||701-284-7676|