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PROFESSIONAL PHARMACY LLC NPI 1043243272


NPI Information

NPI: 1043243272
Provider Name: PROFESSIONAL PHARMACY LLC

Doing Business As: PROFESSIONAL PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
3124 COLORADO LANE
#400
BISMARCK, ND
ZIP 58503
Phone: (701) 223-6854
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PROFESSIONAL PHARMACY LLC is a long term care pharmacy pharmacy in Bismarck, 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. PROFESSIONAL PHARMACY LLC NPI is 1043243272. The provider is registered as an organization entity type.
The provider Is Doing Business As Professional Pharmacy.

The provider's business location address is:

3124 COLORADO LANE
#400
BISMARCK, ND
ZIP 58503
Phone: (701) 223-6854
Fax: (701) 223-6856

The provider's authorized official is Daniel Moore Churchill .
The authorized official title is President and has the following contact phone number (701) 224-0339.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 4/15/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy624NORTH DAKOTANo
23336C0003XPharmacyCommunity/Retail Pharmacy624NORTH DAKOTANo
33336L0003XPharmacyLong Term Care Pharmacy624NORTH DAKOTAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
121086MEDICAIDNORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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