Sanford Pharmacy Broadway

LBN: Sanford Clinic North
Sanford Pharmacy Broadway is an health care organization with primary practice located at 737 Broadway , Fargo ND 58102-4421. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Sanford Clinic North can be contacted via phone (701) 234-2416, or through Morrison, Tony Lee via phone (605) 328-8380.

Contact Information

Primary practice address
737 Broadway Fargo ND 58102-4421
Phone: (701) 234-2416
Fax: (701) 234-2433
Website:
Map and Directions
Authorized official contact:
Name: Morrison, Tony Lee
Phone: (605) 328-8380

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 309 North Dakota
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 309 North Dakota
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 309 North Dakota

Profile Details

NPI number 1235173519
LBN Legal business name Sanford Clinic North
DBA Doing business as Sanford Pharmacy Broadway
Authorized official Morrison, Tony Lee
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2006
Last updated Jun 15th, 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 1235173519 NPPES
Minnesota MEDICAID 1235173519
Minnesota Other 35-00712
Minnesota MEDICAID 1235173519
Minnesota MEDICAID 21587

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