M-D Pharmacy Ltc
LBN: Md Pharmacy Llc
M-D Pharmacy Ltc is an health care organization with primary practice located at 4101 13Th Ave S Ste S , Fargo ND 58103-2108. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Md Pharmacy Llc can be contacted via phone (701) 364-5690, or through Groff, Dustin Charles via phone (701) 364-5690.
Contact Information
Primary practice address
4101 13Th Ave S Ste S
Fargo ND 58103-2108
Phone: (701) 364-5690
Fax: (701) 235-6159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1740938935 |
|---|---|
| LBN Legal business name | Md Pharmacy Llc |
| DBA Doing business as | M-D Pharmacy Ltc |
| Authorized official | Groff, Dustin Charles PHARMD, RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 16th, 2022 |
| Last updated | Aug 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740938935 | NPPES |
| North Dakota | MEDICAID | 1450561 |
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