Whalio Doctors

NPI 1093134017

St. Alexius Mandan Pharmacy, LLC

Organisation Community/Retail Pharmacy Mandan, ND

Practice location

Address
2500 Sunset Drive NW, Suite 2, Mandan, ND 58554
Phone
(701) 530-3750
Fax
(701) 530-3788

Authorised official

Name
Kristen Sperle
Title
Pharmacist in Charge
Phone
(701) 214-1868

Registered specialties (4)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 793 (ND)
Pharmacy
Suppliers Taxonomy 333600000X
Clinic Pharmacy
Suppliers Taxonomy 3336C0002X
Compounding Pharmacy
Suppliers Taxonomy 3336C0004X

Registry record

NPI
1093134017
Entity type
Organization
NPI issued
8 Apr 2014
Record last updated
15 May 2014

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.