Prairie Pharmacy Fa1

LBN: North Prarie Pharmacies Llc
Prairie Pharmacy Fa1 is an health care organization with primary practice located at 4731 13Th Ave S , Fargo ND 58103-7269. 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. North Prarie Pharmacies Llc can be contacted via phone (701) 373-0325, or through Johnson, Dennis Paul via phone (701) 746-0497.

Contact Information

Primary practice address
4731 13Th Ave S Fargo ND 58103-7269
Phone: (701) 373-0325
Fax: (701) 373-0327
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Dennis Paul
Phone: (701) 746-0497

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 604 North Dakota

Profile Details

NPI number 1881791721
LBN Legal business name North Prarie Pharmacies Llc
DBA Doing business as Prairie Pharmacy Fa1
Authorized official Johnson, Dennis Paul
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jun 30th, 2023 - about last year

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 1881791721 NPPES
Minnesota MEDICAID 640126100
Minnesota MEDICAID 21448
Minnesota Other 2071598

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