NPI 1780768812

Interstate Retail INC

Organisation Community/Retail Pharmacy Williston, ND

Practice location

Address: 317 Main St, Williston, ND 58801-5303
Phone: (701) 572-6721
Fax: (701) 572-6723

Authorised official

Name: Brian Bolinske
Title: Owner
Phone: (701) 572-6721

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 61 (ND)

Other Pharmacy providers in North Dakota →

Registry record

NPI: 1780768812
Entity type: Organization
NPI issued: 25 Oct 2006
Record last updated: 20 Apr 2012

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.