<Unavail>

LBN: Edgeley Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 503 Main St Ste B, Edgeley ND 58433-7119. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Edgeley Pharmacy Llc can be contacted via phone (701) 493-2810, or through Churchill, Daniel Moore via phone (701) 224-0339.

Contact Information

Primary practice address
503 Main St Ste B Edgeley ND 58433-7119
Phone: (701) 493-2810
Fax: (701) 493-2263
Website:
Map and Directions
Authorized official contact:
Name: Churchill, Daniel Moore PHARM. D.
Phone: (701) 224-0339

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 717 North Dakota
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1548566698
LBN Legal business name Edgeley Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Churchill, Daniel Moore PHARM. D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2011
Last updated Jun 10th, 2026 - about 5 months 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 1548566698 NPPES
North Dakota MEDICAID 1499371

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