Larsen Service Drug Inc

LBN: Larsen Service Drug Inc
Larsen Service Drug Inc is an health care organization with primary practice located at 244 N Main St , Watford City ND 58854-7122. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Larsen Service Drug Inc can be contacted via phone (701) 444-2410, or through Larsen, Larry via phone (701) 444-2410.

Contact Information

Primary practice address
244 N Main St Watford City ND 58854-7122
Fax: (701) 444-2921
Website:
Authorized official contact:
Name: Larsen, Larry RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHAR163 North Dakota
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1568408581
LBN Legal business name Larsen Service Drug Inc
DBA Doing business as Larsen Service Drug Inc
Authorized official Larsen, Larry RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Feb 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568408581 NPPES
North Dakota MEDICAID 020166
North Dakota Other 2071165

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