Heritage Pharmacy Main

LBN: Heritage Pharmacy East Inc
Heritage Pharmacy Main is an health care organization with primary practice located at 401 N 9Th St , Bismarck ND 58501-4530. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Heritage Pharmacy East Inc can be contacted via phone (701) 530-6050, or through Kristensen, Andrew via phone (701) 530-6050.

Contact Information

Primary practice address
401 N 9Th St Bismarck ND 58501-4530
Phone: (701) 530-6050
Fax: (701) 530-6417
Website:
Map and Directions
Authorized official contact:
Name: Kristensen, Andrew
Phone: (701) 530-6050

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 995 North Dakota

Profile Details

NPI number 1770029613
LBN Legal business name Heritage Pharmacy East Inc
DBA Doing business as Heritage Pharmacy Main
Authorized official Kristensen, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2017
Last updated Apr 19th, 2017 - about 8 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 1770029613 NPPES
Other 2166898 PK
MEDICAID 1469864 PK

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