NPI 1043260722

North Dakota State Hospital

Organisation Institutional Pharmacy Jamestown, ND

Practice location

Address: 1712 Elmwood Place, Jamestown, ND 58401
Phone: (701) 269-2979
Fax: (701) 253-3035

Authorised official

Name: Rosalie Etherington
Title: Superintendent
Phone: (701) 253-3964

Registered specialties (3)

Institutional Pharmacy Primary

Suppliers Taxonomy 3336I0012X Licence 188 (ND)

Other Pharmacy providers in North Dakota →

Pharmacy

Suppliers Taxonomy 333600000X

Long Term Care Pharmacy

Suppliers Taxonomy 3336L0003X

Registry record

NPI: 1043260722
Entity type: Organization
NPI issued: 11 May 2006
Record last updated: 8 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.