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Contact Information

WHITE DRUG CO OF JAMESTOWN INC
506 W VILLARD ST
DICKINSON, ND58601-5017
 Phone: 701-227-0191
 Fax: 701-227-0192
 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 Number 1760808299
LBN Legal business name WHITE DRUG CO OF JAMESTOWN INC
Authorized official ANNE FROISTAD - (LICENSING COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2014
Last updated 10/29/2024 - More than a year ago
Identifiers
ND License # PHAR403
ND Medicaid 1455216 RX
ND Medicaid 1460045 DME
Other 2144823 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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