NORTH DAKOTA STATE UNIVERSITY NPI 1811939416

NPI Information

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 1811939416. The provider is registered as an organization entity type.
The provider Is Doing Business As Ndsu Student Health Service Pharmacy.

The provider's business location address is:

1707 CENTENNIAL BLVD
FARGO, ND
ZIP 58102
Phone: (701) 231-7332
Fax: (701) 231-6132

The provider's authorized official is Alicia Fitz .
The authorized official title is Pharmacist In Charge and has the following contact phone number (701) 231-7332.

The CLIA number assigned to this NPI record is 35D0041738 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 6/12/2015.

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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