Professional Pharmacy

LBN: Professional Pharmacy Llc
Professional Pharmacy is an health care organization with primary practice located at 3124 Colorado Lane #400, Bismarck ND 58503. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Professional Pharmacy Llc can be contacted via phone (701) 223-6854, or through Churchill, Daniel Moore via phone (701) 224-0339.

Contact Information

Primary practice address
3124 Colorado Lane #400 Bismarck ND 58503
Phone: (701) 223-6854
Fax: (701) 223-6856
Website:
Map and Directions
Authorized official contact:
Name: Churchill, Daniel Moore PHARMD
Phone: (701) 224-0339

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 624 North Dakota
Suppliers / Community/Retail Pharmacy 3336C0003X 624 North Dakota
Suppliers / Long Term Care Pharmacy 3336L0003X 624 North Dakota

Profile Details

NPI number 1043243272
LBN Legal business name Professional Pharmacy Llc
DBA Doing business as Professional Pharmacy
Authorized official Churchill, Daniel Moore PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated Apr 15th, 2019 - about 5 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 1043243272 NPPES
North Dakota MEDICAID 21086

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