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:
Map and Directions
Authorized official contact:
Name: Glarum, Lucas Bradley PHARM.D
Phone: (701) 642-6223

Health care specialties

SpecialtyCodeLicense #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 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134345457 NPPES
Minnesota MEDICAID 701260X
Minnesota MEDICAID 20159
Minnesota Other 3501803

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