MIDWEST DRUG DISTRIBUTION INC NPI 1336472505

NPI Information

MIDWEST DRUG DISTRIBUTION INC is a pharmacy in Fargo, ND. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. MIDWEST DRUG DISTRIBUTION INC NPI is 1336472505. The provider is registered as an organization entity type.
The provider Is Doing Business As Midwest Pharmacy Of Fargo.

The provider's business location address is:

4153 12 TH AVE. NORTH SUITE B
FARGO, ND
ZIP 58102
Phone: (701) 373-8504
Fax: (701) 373-8506

The provider's authorized official is Peter Lee .
The authorized official title is Pharmacist N Charge and has the following contact phone number (701) 373-8504.

The enumeration date for this NPI number is 9/4/2009 and was last updated on 4/22/2010.

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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