Family Healthcare Pharmacy South

LBN: North Dakota State University
Family Healthcare Pharmacy South is an health care organization with primary practice located at 4025 9Th Ave S Ste D , Fargo ND 58103-2101. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. North Dakota State University can be contacted via phone (701) 551-2446, or through Daniel, Nicole via phone (701) 551-2446.

Contact Information

Primary practice address
4025 9Th Ave S Ste D Fargo ND 58103-2101
Phone: (701) 551-2446
Fax: (701) 364-9938
Website:
Map and Directions
Authorized official contact:
Name: Daniel, Nicole RPH
Phone: (701) 551-2446

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X PHAR252 North Dakota

Profile Details

NPI number 1972000768
LBN Legal business name North Dakota State University
DBA Doing business as Family Healthcare Pharmacy South
Authorized official Daniel, Nicole RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 9th, 2018
Last updated Aug 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972000768 NPPES
North Dakota Other PHAR252 STATE PHARMACY LICENSE
North Dakota MEDICAID 1475078 STATE PHARMACY LICENSE
North Dakota MEDICAID 1972000768 STATE PHARMACY LICENSE

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