Provider First Line Business Practice Location Address:
MERITCARE HEALTHCARE SYSTEMS PHARMACY
Provider Second Line Business Practice Location Address:
801 BROADWAY NORTH
Provider Business Practice Location Address City Name:
FARGO
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58122-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-234-5601
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/04/2006