Mandan Drug
LBN: Mandan Drug
Mandan Drug is an health care organization with primary practice located at 316 W Main St # 398 , Mandan ND 58554-3144. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Mandan Drug can be contacted via phone (701) 663-5900, or through Kruger, Russel via phone (701) 663-5900.
Contact Information
Primary practice address
316 W Main St # 398
Mandan ND 58554-3144
Phone: (701) 663-5900
Fax: (701) 663-5311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 67 | North Dakota |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1528062312 |
|---|---|
| LBN Legal business name | Mandan Drug |
| DBA Doing business as | |
| Authorized official | Kruger, Russel |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Aug 22nd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528062312 | NPPES |
| Other | 3501283 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 20801 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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