Clinic Pharmacy Ltc

LBN: Clinic Pharmacy Inc
Clinic Pharmacy Ltc is an health care organization with primary practice located at 2615 Fairway St , Dickinson ND 58601-2590. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Clinic Pharmacy Inc can be contacted via phone (701) 483-4401, or through Ollerman, Brandi Lee via phone (701) 227-8265.

Contact Information

Primary practice address
2615 Fairway St Dickinson ND 58601-2590
Phone: (701) 483-4401
Fax: (701) 483-4404
Website:
Map and Directions
Authorized official contact:
Name: Ollerman, Brandi Lee
Phone: (701) 227-8265

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1770345225
LBN Legal business name Clinic Pharmacy Inc
DBA Doing business as Clinic Pharmacy Ltc
Authorized official Ollerman, Brandi Lee
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2024
Last updated Feb 14th, 2024 - about 2 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 1770345225 NPPES
North Dakota MEDICAID 1454568

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