<Unavail>

LBN: Fort Berthold Ihs Health Center Pharmacy
<Unavail> is an health care organization with primary practice located at 1 Minni Tohe Dr , New Town ND 58763-4400. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty. Fort Berthold Ihs Health Center Pharmacy can be contacted via phone (701) 627-4701, or through Forman, Michael via phone (605) 226-7212.

Contact Information

Primary practice address
1 Minni Tohe Dr New Town ND 58763-4400
Phone: (701) 627-4701
Fax: (701) 627-4318
Website:
Map and Directions
Authorized official contact:
Name: Forman, Michael PHARM.D.
Phone: (605) 226-7212

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

Profile Details

NPI number 1851428288
LBN Legal business name Fort Berthold Ihs Health Center Pharmacy
DBA Doing business as <Unavail>
Authorized official Forman, Michael PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Mar 7th, 2023 - about 3 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 1851428288 NPPES
North Dakota MEDICAID 1068MI
North Dakota Other 3503845

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