Dakota Clinic Pharmacy On Su Drive
LBN: Dakota Clinic Pharmacy Llc
Dakota Clinic Pharmacy On Su Drive is an health care organization with primary practice located at 1702 University Dr S , Fargo ND 58103-4940. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Dakota Clinic Pharmacy Llc can be contacted via phone (701) 364-3450, or through Morris, Laura via phone (701) 364-3450.
Contact Information
Primary practice address
1702 University Dr S
Fargo ND 58103-4940
Phone: (701) 364-3450
Fax: (701) 364-3382
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHAR114 | North Dakota |
Profile Details
| NPI number | 1154332716 |
|---|---|
| LBN Legal business name | Dakota Clinic Pharmacy Llc |
| DBA Doing business as | Dakota Clinic Pharmacy On Su Drive |
| Authorized official | Morris, Laura PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Aug 5th, 2016 - about 8 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 | 1154332716 | NPPES |
| Other | 2119915 | PK | |
| MEDICAID | 483058000 | PK | |
| MEDICAID | 21472DA | PK |
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