Ye Olde Medicine Center

LBN: Ye Olde Medicine Shoppe
Ye Olde Medicine Center is an health care organization with primary practice located at 503 Park St W , Park River ND 58270-4137. 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. Ye Olde Medicine Shoppe can be contacted via phone (701) 284-7676, or through Larson, Laurie via phone (701) 284-7676.

Contact Information

Primary practice address
503 Park St W Park River ND 58270-4137
Phone: (701) 284-7676
Fax: (701) 284-6129
Website:
Map and Directions
Authorized official contact:
Name: Larson, Laurie RPH
Phone: (701) 284-7676

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHAR59 North Dakota
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1720020324
LBN Legal business name Ye Olde Medicine Shoppe
DBA Doing business as Ye Olde Medicine Center
Authorized official Larson, Laurie RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2006
Last updated Jul 19th, 2018 - about 6 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 1720020324 NPPES
North Dakota MEDICAID 20668
North Dakota Other 2071194

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