White Drug #39

LBN: White Drug Co Of Jamestown Inc
White Drug #39 is an health care organization with primary practice located at 1401 33Rd St Sw , Fargo ND 58103-3413. 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 / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. White Drug Co Of Jamestown Inc can be contacted via phone (701) 235-5511, or through Froistad, Anne via phone (763) 513-4377.

Contact Information

Primary practice address
1401 33Rd St Sw Fargo ND 58103-3413
Fax: (701) 235-1985
Website:
Authorized official contact:
Name: Froistad, Anne

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PHAR77 North Dakota
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 260906 Minnesota
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1215026828
LBN Legal business name White Drug Co Of Jamestown Inc
DBA Doing business as White Drug #39
Authorized official Froistad, Anne
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Aug 17th, 2021 - about 3 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 1215026828 NPPES
North Dakota MEDICAID 000020746WH
North Dakota Other 2071246
North Dakota MEDICAID 902260100
North Dakota MEDICAID 210717

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