National Provider Identifier Database

NORTH DAKOTA STATE UNIVERSITY
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

NORTH DAKOTA STATE UNIVERSITY
301 NP AVENUE
FARGO, ND58102
Phone: 701-271-1489
Fax:
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for NORTH DAKOTA STATE UNIVERSITY

NPI Number 1194805796
Legal business name
LBN
NORTH DAKOTA STATE UNIVERSITY
Authorized official JENNIFER IVERSON - (PHARMACIST IN CHARGE)
Entity Organization
Organization subpart Yes
Enumeration date 10/17/2006
Last updated 08/24/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • ND License #: 117
  • MN Medicaid: 707614200
  • ND Medicaid: 1456278

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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