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Contact Information

NORTH DAKOTA STATE UNIVERSITY
301 NP AVENUE
FARGO, ND58102
 Phone: 701-271-1489
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for NORTH DAKOTA STATE UNIVERSITY

NPI # 1194805796
LBN Legal business name NORTH DAKOTA STATE UNIVERSITY
Authorized official JENNIFER IVERSON - (PHARMACIST IN CHARGE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/17/2006
Last updated 08/24/2022 - About 4 years ago
Identifiers
ND License # 117
MN Medicaid 707614200
ND Medicaid 1456278
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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