NORTH DAKOTA STATE UNIVERSITY NPI 1194805796

NPI Information

NPI: 1194805796
Provider Name: NORTH DAKOTA STATE UNIVERSITY

Doing Business As: FAMILY HEALTHCARE PHARMACY, NDSU

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
301 NP AVENUE
FARGO, ND
ZIP 58102
Phone: (701) 271-1489
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NORTH DAKOTA STATE UNIVERSITY is a clinic pharmacy pharmacy in Fargo, 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. NORTH DAKOTA STATE UNIVERSITY NPI is 1194805796. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Healthcare Pharmacy, Ndsu.

The provider's business location address is:

301 NP AVENUE
FARGO, ND
ZIP 58102
Phone: (701) 271-1489

The provider's authorized official is Susan Nelson .
The authorized official title is Pharmacy Director and has the following contact phone number (701) 271-1489.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 11/2/2012.

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	3336C0002X	Pharmacy	Clinic Pharmacy	117	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	21376	MEDICAID	NORTH DAKOTA
2	707614200	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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