WHITE DRUG COMPANY OF JAMESTOWN INC NPI 1003906942

NPI Information

WHITE DRUG COMPANY OF JAMESTOWN, INC is a long term care pharmacy pharmacy in Fargo, ND. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. WHITE DRUG COMPANY OF JAMESTOWN, INC NPI is 1003906942. The provider is registered as an organization entity type.
The provider Is Doing Business As White Drug #61.

The provider's business location address is:

706 38TH ST N
UNIT A
FARGO, ND
ZIP 58102-953
Phone: (701) 893-9050
Fax: (701) 893-9053

The provider's authorized official is Anne Froistad .
The authorized official title is Licensing Coordinator and has the following contact phone number (763) 513-4377.

The CLIA number assigned to this NPI record is 35D2142590 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 8/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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