WALLS ALTRU PHARMACY INC NPI 1376632067

NPI Information

NPI: 1376632067
Provider Name: WALLS ALTRU PHARMACY INC

Doing Business As: WALLS HEALTH MART PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
4440 S WASHINGTON ST
STE 101D
GRAND FORKS, ND
ZIP 58201
Phone: (701) 732-2900
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WALLS ALTRU PHARMACY INC 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. WALLS ALTRU PHARMACY INC NPI is 1376632067. The provider is registered as an organization entity type.
The provider Is Doing Business As Walls Health Mart Pharmacy.

The provider's business location address is:

4440 S WASHINGTON ST
STE 101D
GRAND FORKS, ND
ZIP 58201-245
Phone: (701) 732-2900
Fax: (701) 732-2909

The provider's authorized official is Dennis Paul Johnson .
The authorized official title is Owner President and has the following contact phone number (701) 746-0497.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 10/1/2020.

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	3336C0003X	Pharmacy	Community/Retail Pharmacy	PHAR815	NORTH DAKOTA	No
2	3336C0004X	Pharmacy	Compounding Pharmacy			No
3	3336I0012X	Pharmacy	Institutional Pharmacy			No
4	3336L0003X	Pharmacy	Long Term Care Pharmacy			No
5	3336C0002X	Pharmacy	Clinic Pharmacy	264179	MINNESOTA	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	21479	MEDICAID	NORTH DAKOTA
2	2071617	OTHER		PK
3	734967100	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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