NPI 1144231705

Thomas Moe

Organisation Community/Retail Pharmacy Bismarck, ND

Practice location

Address: 1929 N Washington St STE C, Bismarck, ND 58501-1616
Phone: (701) 258-1412
Fax: (701) 258-1413

Authorised official

Name: Tom Moe
Title: Owner
Phone: (701) 258-1412

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 20 (ND)

Other Pharmacy providers in North Dakota →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1144231705
Entity type: Organization
NPI issued: 10 Aug 2006
Record last updated: 1 Aug 2011

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.