North Dakota State Hospital Pharmacy

LBN: North Dakota State Hospital
North Dakota State Hospital Pharmacy is an health care organization with primary practice located at 1712 Elmwood Place , Jamestown ND 58401. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. North Dakota State Hospital can be contacted via phone (701) 269-2979, or through Etherington, Rosalie via phone (701) 253-3964.

Contact Information

Primary practice address
1712 Elmwood Place Jamestown ND 58401
Phone: (701) 269-2979
Fax: (701) 253-3035
Website:
Map and Directions
Authorized official contact:
Name: Etherington, Rosalie PHD
Phone: (701) 253-3964

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Institutional Pharmacy 3336I0012X 188 North Dakota
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1043260722
LBN Legal business name North Dakota State Hospital
DBA Doing business as North Dakota State Hospital Pharmacy
Authorized official Etherington, Rosalie PHD
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Feb 8th, 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 1043260722 NPPES
Other 2071611 PK
MEDICAID 21476 PK

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