Medical Pharmacy Moorhead Azool

LBN: Medical Pharmacy Moorhead Inc
Medical Pharmacy Moorhead Azool is an health care organization with primary practice located at 950 40Th Ave S , Moorhead MN 56560-6170. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Medical Pharmacy Moorhead Inc can be contacted via phone (218) 359-4007, or through Nudell, Sheila via phone (218) 233-7365.

Contact Information

Primary practice address
950 40Th Ave S Moorhead MN 56560-6170
Phone: (218) 359-4007
Fax: (218) 359-4010
Website:
Map and Directions
Authorized official contact:
Name: Nudell, Sheila
Phone: (218) 233-7365

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 265281 Minnesota
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1457747164
LBN Legal business name Medical Pharmacy Moorhead Inc
DBA Doing business as Medical Pharmacy Moorhead Azool
Authorized official Nudell, Sheila
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2015
Last updated Jul 19th, 2018 - 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 1457747164 NPPES
Other 2168164 PK
MEDICAID 1457747164 PK

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