NPI: 1194805796 · FARGO, ND 58102 · Clinic Pharmacy · NPI assigned 10/17/2006
| Authorized Official | IVERSON, JENNIFER (PHARMACIST IN CHARGE) |
| Parent Organization | NORTH DAKOTA STATE UNIVERSITY |
| NPI Enumeration Date | 10/17/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 19 | $320.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99406 | 19 | 16 | $320.00 |