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SANFORD MEDICAL CENTER FARGO NPI 1861927709


NPI Information

NPI: 1861927709
Provider Name: SANFORD MEDICAL CENTER FARGO

Doing Business As: SANFORD PHARMACY I94

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
5225 23RD AVE S
FARGO, ND
ZIP 58104
Phone: (701) 417-2338
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SANFORD MEDICAL CENTER FARGO is a community/retail pharmacy pharmacy in Fargo, ND. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. SANFORD MEDICAL CENTER FARGO NPI is 1861927709. The provider is registered as an organization entity type.
The provider Is Doing Business As Sanford Pharmacy I94.

The provider's business location address is:

5225 23RD AVE S
FARGO, ND
ZIP 58104
Phone: (701) 417-2338
Fax: (701) 417-2343

The provider's authorized official is Tony Lee Morrison .
The authorized official title is Vice President, Revenue Cycle and has the following contact phone number (605) 328-8380.

The enumeration date for this NPI number is 4/28/2017 and was last updated on 7/9/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPHAR315ANORTH 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
12169022OTHERPK

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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