White Drug #009

LBN: White Drug Co Of Jamestown Inc
White Drug #009 is an health care organization with primary practice located at 2475 32Nd Ave S Ste 1, Grand Forks ND 58201-3606. 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) 775-4209, or through Froistad, Anne via phone (763) 513-4377.

Contact Information

Primary practice address
2475 32Nd Ave S Ste 1 Grand Forks ND 58201-3606
Fax: (701) 775-9122
Website:
Authorized official contact:
Name: Froistad, Anne

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PHAR72 North Dakota
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 263433 Minnesota
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1689763294
LBN Legal business name White Drug Co Of Jamestown Inc
DBA Doing business as White Drug #009
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 1689763294 NPPES
Other 2070741 PK
MEDICAID 1456945 DME PK
MEDICAID 1455443 RX PK
MEDICAID 8531130 PK
MEDICAID 1689763294 PK

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