Provider First Line Business Practice Location Address:
1707 CENTENNIAL BLVD
Provider Second Line Business Practice Location Address:
NDSU STUDENT HEALTH CENTER PHARMACY
Provider Business Practice Location Address City Name:
FARGO
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58105-5313
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-231-7332
Provider Business Practice Location Address Fax Number:
701-231-6132
Provider Enumeration Date:
07/18/2008