Walls Health Mart Pharmacy

LBN: Walls Altru Pharmacy Inc
Walls Health Mart Pharmacy is an health care organization with primary practice located at 4440 S Washington St Ste 101D, Grand Forks ND 58201-7245. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Walls Altru Pharmacy Inc can be contacted via phone (701) 732-2900, or through Johnson, Dennis Paul via phone (701) 746-0497.

Contact Information

Primary practice address
4440 S Washington St Ste 101D Grand Forks ND 58201-7245
Phone: (701) 732-2900
Fax: (701) 732-2909
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Dennis Paul
Phone: (701) 746-0497

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 264179 Minnesota
Suppliers / Community/Retail Pharmacy 3336C0003X PHAR815 North Dakota
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1376632067
LBN Legal business name Walls Altru Pharmacy Inc
DBA Doing business as Walls Health Mart Pharmacy
Authorized official Johnson, Dennis Paul
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Oct 1st, 2020 - 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 1376632067 NPPES
North Dakota MEDICAID 21479
North Dakota MEDICAID 734967100
North Dakota Other 2071617

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