Altru Clinic Pharmacy - Family Medicine Center
LBN: Altru Clinic Pharmacy - Family Medicine Center Inc
Altru Clinic Pharmacy - Family Medicine Center is an health care organization with primary practice located at 1380 S Columbia Rd , Grand Forks ND 58201-4059. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Altru Clinic Pharmacy - Family Medicine Center Inc can be contacted via phone (701) 795-2020, or through Hulst, Kelly via phone (701) 795-2020.
Contact Information
Primary practice address
1380 S Columbia Rd
Grand Forks ND 58201-4059
Phone: (701) 795-2020
Fax: (701) 795-2019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | PHAR959 | North Dakota |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 264525 | Minnesota |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1871829028 |
|---|---|
| LBN Legal business name | Altru Clinic Pharmacy - Family Medicine Center Inc |
| DBA Doing business as | Altru Clinic Pharmacy - Family Medicine Center |
| Authorized official | Hulst, Kelly RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 22nd, 2009 |
| Last updated | Mar 3rd, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871829028 | NPPES |
| Other | 2122317 | PK | |
| MEDICAID | 1871829028 | PK | |
| MEDICAID | 1457480 | PK |
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