MS4 PLLC NPI 1063140010

NPI Information

  • NPI: 1063140010
  • Provider Name: MS4 PLLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Address: 4476 31ST AVE S STE 105
    FARGO, ND
    ZIP 58104
  • Phone: (701) 639-6969

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NPI Details

MS4 PLLC is a long term care pharmacy pharmacy in Fargo, ND. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MS4 PLLC NPI is 1063140010. The provider is registered as an organization entity type.

The provider's business location address is:

4476 31ST AVE S STE 105
FARGO, ND
ZIP 58104-532
Phone: (701) 639-6969

The provider's authorized official is Lanell Hagen .
The authorized official title is Pharmacist/owner and has the following contact phone number (701) 293-0221.

The enumeration date for this NPI number is 8/9/2022 and was last updated on 8/9/2022.

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
13336L0003XPharmacyLong Term Care PharmacyYes

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: 11/21/2025

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