Corner Drug Store Ltc

LBN: Corner Drug Store Of Wahpeton Inc
Corner Drug Store Ltc is an health care organization with primary practice located at 619 Dakota Ave , Wahpeton ND 58075-4325. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Corner Drug Store Of Wahpeton Inc can be contacted via phone (701) 642-6223, or through Glarum, Lucas 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 PHARM.D
Phone: (701) 642-6223

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1821653577
LBN Legal business name Corner Drug Store Of Wahpeton Inc
DBA Doing business as Corner Drug Store Ltc
Authorized official Glarum, Lucas PHARM.D
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2019
Last updated May 7th, 2024 - about 6 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 1821653577 NPPES
Other 3501803 NCPDP
MEDICAID 701260X NCPDP
MEDICAID 20159 NCPDP

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