ALTRU HEALTH SYSTEM NPI 1144368085

NPI Information

NPI: 1144368085
Provider Name: ALTRU HEALTH SYSTEM

Doing Business As: FAMILY MEDICINE RESIDENCY PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
725 HAMLINE ST
GRAND FORKS, ND
ZIP 58203
Phone: (701) 780-6870
Get Directions

ALTRU HEALTH SYSTEM is a clinic pharmacy pharmacy in Grand Forks, ND. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. ALTRU HEALTH SYSTEM NPI is 1144368085. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Medicine Residency Pharmacy.

The provider's business location address is:

725 HAMLINE ST
GRAND FORKS, ND
ZIP 58203-819
Phone: (701) 780-6870
Fax: (701) 780-6878

The provider's authorized official is Joellen Mcgauvran .
The authorized official title is Supervisor and has the following contact phone number (701) 780-6870.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 8/5/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	333600000X	Pharmacy				No
2	3336C0002X	Pharmacy	Clinic Pharmacy	PHAR477	NORTH DAKOTA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2071404	OTHER		PK
2	21082	MEDICAID	NORTH DAKOTA
3	1199330010	MEDICARE NSC
4	574155600	MEDICAID	MINNESOTA

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

NPI Synchronization or Removal

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