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Contact Information

MIDWEST DRUG DISTRIBUTION INC
4153 12TH AVE N
FARGO, ND58102-2900
 Phone: 701-373-8500
 Fax: 701-373-8506
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MIDWEST DRUG DISTRIBUTION INC

NPI # 1356570766
LBN Legal business name MIDWEST DRUG DISTRIBUTION INC
Authorized official PETER LEE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2009
Last updated 06/10/2015 - About 11 years ago
Identifiers
ND License # PHAR946
Other 2121010 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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