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
Phone: (701) 235-5511
Fax: (701) 235-1985
Website:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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