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ST. ALEXIUS COMMUNITY PHARMACY NPI 1750533709


NPI Information

NPI: 1750533709
Provider Name: ST. ALEXIUS COMMUNITY PHARMACY

Doing Business As: COMMUNITY PHARMACY RT/DME

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
900 E BROADWAY AVE
BISMARCK, ND
ZIP 58501
Phone: (701) 530-6906
Get Directions

ST. ALEXIUS COMMUNITY PHARMACY is a pharmacy in Bismarck, 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. ST. ALEXIUS COMMUNITY PHARMACY NPI is 1750533709. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Pharmacy Rt/dme.

The provider's business location address is:

900 E BROADWAY AVE
BISMARCK, ND
ZIP 58501-520
Phone: (701) 530-6906
Fax: (701) 530-6907

The provider's authorized official is Ricky L Detwiller .
The authorized official title is Director, Outpatient Pharmacy Serv and has the following contact phone number (701) 530-6926.

The enumeration date for this NPI number is 10/21/2008 and was last updated on 1/27/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies190NORTH DAKOTANo
2333600000XPharmacy190NORTH DAKOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000021438MEDICAIDNORTH 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

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