Warroad Heritage Pharmacy
LBN: Warroad Heritage Inc
Warroad Heritage Pharmacy is an health care organization with primary practice located at 321 Lake St Ne , Warroad MN 56763-2305. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Warroad Heritage Inc can be contacted via phone (218) 386-1088, or through Erickson, Jeanne via phone (218) 386-1088.
Contact Information
Primary practice address
321 Lake St Ne
Warroad MN 56763-2305
Phone: (218) 386-1088
Fax: (218) 386-1780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 200560 | Minnesota |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Mail Order Pharmacy | 3336M0002X |
Profile Details
| NPI number | 1932122918 |
|---|---|
| LBN Legal business name | Warroad Heritage Inc |
| DBA Doing business as | Warroad Heritage Pharmacy |
| Authorized official | Erickson, Jeanne RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Oct 3rd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932122918 | NPPES |
| Other | 2412081 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 611760100 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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