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Contact Information

GLEN ULLIN PHARMACY LLC
113 S MAIN ST
GLEN ULLIN, ND58631-7101
 Phone: 701-348-3303
 Fax: 701-348-3913
 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
Indicates primary specialty

NPI Profile & details for GLEN ULLIN PHARMACY LLC

NPI Number 1619151206
LBN Legal business name GLEN ULLIN PHARMACY LLC
Authorized official DANIEL CHURCHILL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2007
Last updated 09/02/2022 - About 4 years ago
Identifiers
ND License # 789
Other 2153034 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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