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Contact Information

NORTH DAKOTA DOCR PHARMACY
3100 RAILROAD AVENUE
BISMARCK, ND58506-5521
 Phone: 701-328-6389
 Fax: 701-328-6391
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for NORTH DAKOTA DOCR PHARMACY

NPI Number 1649329632
LBN Legal business name NORTH DAKOTA DOCR PHARMACY
Authorized official KENNETH JOHNSON - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 01/09/2007
Last updated 12/04/2009 - About 17 years ago
Identifiers
ND License # 3397
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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