Sanford Pharmacy I94

LBN: Sanford Medical Center Fargo
Sanford Pharmacy I94 is an health care organization with primary practice located at 5225 23Rd Ave S , Fargo ND 58104. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Sanford Medical Center Fargo can be contacted via phone (701) 417-2338, or through Morrison, Tony Lee via phone (605) 328-8380.

Contact Information

Primary practice address
5225 23Rd Ave S Fargo ND 58104
Fax: (701) 417-2343
Website:
Authorized official contact:
Name: Morrison, Tony Lee

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHAR315A North Dakota
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X

Profile Details

NPI number 1861927709
LBN Legal business name Sanford Medical Center Fargo
DBA Doing business as Sanford Pharmacy I94
Authorized official Morrison, Tony Lee
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2017
Last updated May 14th, 2024 - about 7 months 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 1861927709 NPPES
Other 2169022 PK

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