Heritage Pharmacy Gateway Mall Inc

LBN: Heritage Pharmacy Gateway Mall Inc
Heritage Pharmacy Gateway Mall Inc is an health care organization with primary practice located at 2700 State St Ste F13, Bismarck ND 58503-0669. 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. Heritage Pharmacy Gateway Mall Inc can be contacted via phone (701) 530-5800, or through Hoechst, Lucas via phone (701) 530-5800.

Contact Information

Primary practice address
2700 State St Ste F13 Bismarck ND 58503-0669
Fax: (701) 530-5805
Website:
Authorized official contact:
Name: Hoechst, Lucas PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHAR779 North Dakota

Profile Details

NPI number 1326291238
LBN Legal business name Heritage Pharmacy Gateway Mall Inc
DBA Doing business as Heritage Pharmacy Gateway Mall Inc
Authorized official Hoechst, Lucas PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2008
Last updated Apr 19th, 2017 - about 7 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 1326291238 NPPES
North Dakota MEDICAID 1455717
North Dakota Other 2118069

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