Community Pharmacy Rt/Dme

LBN: St. Alexius Community Pharmacy
Community Pharmacy Rt/Dme is an health care organization with primary practice located at 900 E Broadway Ave , Bismarck ND 58501-4520. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. St. Alexius Community Pharmacy can be contacted via phone (701) 530-6906, or through Detwiller, Ricky L via phone (701) 530-6926.

Contact Information

Primary practice address
900 E Broadway Ave Bismarck ND 58501-4520
Phone: (701) 530-6906
Fax: (701) 530-6907
Website:
Map and Directions
Authorized official contact:
Name: Detwiller, Ricky L R.PH.
Phone: (701) 530-6926

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 190 North Dakota
Suppliers / Pharmacy 333600000X 190 North Dakota

Profile Details

NPI number 1750533709
LBN Legal business name St. Alexius Community Pharmacy
DBA Doing business as Community Pharmacy Rt/Dme
Authorized official Detwiller, Ricky L R.PH.
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 21st, 2008
Last updated Jan 27th, 2009 - about 15 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 1750533709 NPPES
North Dakota MEDICAID 000021438

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