Beulah Drug Company

LBN: Beulah Drug Company
Beulah Drug Company is an health care organization with primary practice located at 147 W Main St , Beulah ND 58523-6969. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Beulah Drug Company can be contacted via phone (701) 873-5215, or through Martenson, Wyatt Eldon via phone (701) 873-5215.

Contact Information

Primary practice address
147 W Main St Beulah ND 58523-6969
Fax: (701) 873-4908
Website:
Authorized official contact:
Name: Martenson, Wyatt Eldon PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHAR145 North Dakota
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1295778082
LBN Legal business name Beulah Drug Company
DBA Doing business as Beulah Drug Company
Authorized official Martenson, Wyatt Eldon PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Sep 14th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295778082 NPPES
Other 2070746 PK
MEDICAID 1451296 PK

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