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
Phone: (701) 530-5800
Fax: (701) 530-5805
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326291238 | NPPES |
| North Dakota | MEDICAID | 1455717 | |
| North Dakota | Other | 2118069 |
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