Service Drug Pharmacy

LBN: Interstate Retail Inc
Service Drug Pharmacy is an health care organization with primary practice located at 317 Main St , Williston ND 58801-5303. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Interstate Retail Inc can be contacted via phone (701) 572-6721, or through Bolinske, Brian via phone (701) 572-6721.

Contact Information

Primary practice address
317 Main St Williston ND 58801-5303
Phone: (701) 572-6721
Fax: (701) 572-6723
Website:
Map and Directions
Authorized official contact:
Name: Bolinske, Brian RPH
Phone: (701) 572-6721

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 61 North Dakota

Profile Details

NPI number 1780768812
LBN Legal business name Interstate Retail Inc
DBA Doing business as Service Drug Pharmacy
Authorized official Bolinske, Brian RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Apr 20th, 2012 - about 14 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 1780768812 NPPES
North Dakota MEDICAID 020175
North Dakota Other 3501928

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