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Contact Information

BEULAH DRUG COMPANY
147 W MAIN ST
BEULAH, ND58523-6969
 Phone: 701-873-5215
 Fax: 701-873-4908
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BEULAH DRUG COMPANY

NPI # 1295778082
LBN Legal business name BEULAH DRUG COMPANY
Authorized official WYATT MARTENSON - (OWNER/PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2006
Last updated 09/14/2021 - About 5 years ago
Identifiers
ND License # PHAR145
ND Medicaid 1451296
Other 2070746 PK
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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