Mayo Pharmacy Inc

LBN: Mayo Pharmacy Inc
Mayo Pharmacy Inc is an health care organization with primary practice located at 303 North 4Th Street , Bismarck ND 58501-4020. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mayo Pharmacy Inc can be contacted via phone (701) 223-2424, or through Martian, Kevin F via phone (701) 223-2424.

Contact Information

Primary practice address
303 North 4Th Street Bismarck ND 58501-4020
Phone: (701) 223-2424
Fax: (701) 258-2849
Website:
Map and Directions
Authorized official contact:
Name: Martian, Kevin F PHARM.D.
Phone: (701) 223-2424

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 70 North Dakota
Suppliers / Long Term Care Pharmacy 3336L0003X PHAR70 North Dakota

Profile Details

NPI number 1013018910
LBN Legal business name Mayo Pharmacy Inc
DBA Doing business as
Authorized official Martian, Kevin F PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated May 20th, 2021 - about 3 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 1013018910 NPPES
Other 3500281 NABP NCPDP
MEDICAID 1454036 NABP NCPDP

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