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Contact Information

LARSEN SERVICE DRUG INC
244 N MAIN ST
WATFORD CITY, ND58854-7122
 Phone: 701-444-2410
 Fax: 701-444-2921
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LARSEN SERVICE DRUG INC

NPI Number 1568408581
LBN Legal business name LARSEN SERVICE DRUG INC
Authorized official LARRY LARSEN - (PRESIDENT AND OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/20/2006
Last updated 02/23/2016 - About 10 years ago
Identifiers
ND License # PHAR163
ND Medicaid 020166
Other 2071165 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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