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Contact Information

WHITE DRUG CO OF JAMESTOWN INC
2475 32ND AVE S
STE 1
GRAND FORKS, ND58201-3606
 Phone: 701-775-4209
 Fax: 701-775-9122
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

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 WHITE DRUG CO OF JAMESTOWN INC

NPI # 1689763294
LBN Legal business name WHITE DRUG CO OF JAMESTOWN INC
Authorized official ANNE FROISTAD - (LICENSING COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2006
Last updated 10/29/2024 - More than a year ago
Identifiers
MN License # 263433
ND License # PHAR72
MN Medicaid 1689763294
ND Medicaid 1455443 RX
ND Medicaid 1456945 DME
SD Medicaid 8531130
Other 2070741 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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