PRESCRIPTION CENTER PHARMACY INC. NPI 1639254113

NPI Information

NPI: 1639254113
Provider Name: PRESCRIPTION CENTER PHARMACY INC.
Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
2701 13TH AVE S
FARGO, ND
ZIP 58103
Phone: (701) 234-3630
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PRESCRIPTION CENTER PHARMACY INC. 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. PRESCRIPTION CENTER PHARMACY INC. NPI is 1639254113. The provider is registered as an organization entity type.

The provider's business location address is:

2701 13TH AVE S
FARGO, ND
ZIP 58103-602
Phone: (701) 234-3630
Fax: (701) 234-3631

The provider's authorized official is Jeffrey Douglas Jacobson .
The authorized official title is President and has the following contact phone number (701) 234-9912.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 1/28/2021.

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	02	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	20829	MEDICAID	NORTH 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

NPI Synchronization or Removal

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