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Contact Information

MS4 PLLC
4476 31ST AVENUE SOUTH, SUITE #105
FARGO, ND58104
 Phone: 701-293-3060
 Fax: 701-293-3061
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MS4 PLLC

NPI # 1346728557
LBN Legal business name MS4 PLLC
Authorized official ROSS WILHELM - (PHARMACIST/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/31/2018
Last updated 12/09/2021 - About 4 years ago
Identifiers
ND License # PHAR447
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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