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Contact Information

CHURCHILL PHARMACY HOLDING INC.
1190 W TURNPIKE AVE
BISMARCK, ND58501-1300
 Phone: 701-224-0339
 Fax: 701-224-0534
 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
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

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 CHURCHILL PHARMACY HOLDING INC.

NPI Number 1639111230
LBN Legal business name CHURCHILL PHARMACY HOLDING INC.
Authorized official DANIEL CHURCHILL - (PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 06/11/2006
Last updated 09/02/2022 - About 4 years ago
Identifiers
ND License # PHAR767
ND Medicaid 21492
Other 2071343 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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