Glen Ullin Pharmacy

LBN: Glen Ullin Pharmacy Llc
Glen Ullin Pharmacy is an health care organization with primary practice located at 113 S Main St , Glen Ullin ND 58631-7101. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Glen Ullin Pharmacy Llc can be contacted via phone (701) 348-3303, or through Churchill, Daniel Moore via phone (701) 224-0339.

Contact Information

Primary practice address
113 S Main St Glen Ullin ND 58631-7101
Fax: (701) 348-3913
Website:
Authorized official contact:
Name: Churchill, Daniel Moore PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 789 North Dakota
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1619151206
LBN Legal business name Glen Ullin Pharmacy Llc
DBA Doing business as Glen Ullin Pharmacy
Authorized official Churchill, Daniel Moore PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2007
Last updated Sep 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619151206 NPPES
Other 2153034 PK

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