Southpointe Pharmacy

LBN: Prescription Center Pharmacy Inc.
Southpointe Pharmacy is an health care organization with primary practice located at 2400 32Nd Ave S , Fargo ND 58103-5800. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Prescription Center Pharmacy Inc. can be contacted via phone (701) 234-9912, or through Jacobson, Jeffrey Douglas via phone (701) 238-0395.

Contact Information

Primary practice address
2400 32Nd Ave S Fargo ND 58103-5800
Phone: (701) 234-9912
Fax: (701) 297-0807
Website:
Map and Directions
Authorized official contact:
Name: Jacobson, Jeffrey Douglas
Phone: (701) 238-0395

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 1 North Dakota

Profile Details

NPI number 1396723797
LBN Legal business name Prescription Center Pharmacy Inc.
DBA Doing business as Southpointe Pharmacy
Authorized official Jacobson, Jeffrey Douglas
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2006
Last updated Apr 20th, 2021 - about 4 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 1396723797 NPPES
North Dakota MEDICAID 1456717
North Dakota MEDICAID 21068

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