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Contact Information

MAYO PHARMACY INC
303 NORTH 4TH STREET
BISMARCK, ND58501-4020
 Phone: 701-223-2424
 Fax: 701-258-2849
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MAYO PHARMACY INC

NPI # 1013018910
LBN Legal business name MAYO PHARMACY INC
Authorized official KEVIN MARTIAN - (PHARMACIST OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/26/2006
Last updated 05/20/2021 - About 5 years ago
Identifiers
ND License # 70
ND License # PHAR70
ND Medicaid 1454036
Other 3500281 NABP NCPDP
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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