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Contact Information

MAYO PHARMACY INC
303 N 4TH ST
BISMARCK, ND58501-4020
 Phone: 701-223-2424
 Fax: 701-258-2849
 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 MAYO PHARMACY INC

NPI Number 1386275121
LBN Legal business name MAYO PHARMACY INC
Authorized official KEVIN MARTIAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2020
Last updated 06/18/2020 - About 6 years ago
Identifiers
ND Medicaid 1454036
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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