Corner Drug Store Of Wahpeton Inc
LBN: Corner Drug Store Of Wahpeton Inc
Corner Drug Store Of Wahpeton Inc is an health care organization with primary practice located at 619 Dakota Ave , Wahpeton ND 58075-4325. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Corner Drug Store Of Wahpeton Inc can be contacted via phone (701) 642-6223, or through Glarum, Lucas Bradley via phone (701) 642-6223.
Contact Information
Primary practice address
619 Dakota Ave
Wahpeton ND 58075-4325
Phone: (701) 642-6223
Fax: (701) 642-8839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 15 | North Dakota |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | PHAR15 | North Dakota |
| Suppliers / Specialty Pharmacy | 3336S0011X | PHAR15 | North Dakota |
Profile Details
| NPI number | 1134345457 |
|---|---|
| LBN Legal business name | Corner Drug Store Of Wahpeton Inc |
| DBA Doing business as | |
| Authorized official | Glarum, Lucas Bradley PHARM.D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Mar 13th, 2024 - about 8 months 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 | 1134345457 | NPPES |
| Minnesota | MEDICAID | 701260X | |
| Minnesota | MEDICAID | 20159 | |
| Minnesota | Other | 3501803 |
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