SOUTHTOWN ECONODRUG, INC.
387 11th St S
Wahpeton, ND 58075
701-642-2336
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | ND | 152 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
091062700 | MN | MEDICAID | |
21128 | ND | MEDICAID | |
MEDICARE PART B NSC# | 0776850001 | ND | OTHER |
9167120 | SD | MEDICAID |