Medical Pharmacy South
LBN: Medical Pharmacy South Inc
Medical Pharmacy South is an health care organization with primary practice located at 4151 45Th St S , Fargo ND 58104-4312. 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.
Medical Pharmacy South Inc can be contacted via phone (701) 282-8075, or through Kirschenmann, Lana via phone (701) 282-8075.
Contact Information
Primary practice address
4151 45Th St S
Fargo ND 58104-4312
Phone: (701) 282-8075
Fax: (701) 282-8594
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 408 | North Dakota |
Profile Details
| NPI number | 1912954165 |
|---|---|
| LBN Legal business name | Medical Pharmacy South Inc |
| DBA Doing business as | Medical Pharmacy South |
| Authorized official | Kirschenmann, Lana PHARM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Apr 25th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912954165 | NPPES |
| North Dakota | MEDICAID | 1451212 | |
| North Dakota | Other | 2071612 | |
| North Dakota | MEDICAID | 350035700 |
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