Sanford Pharmacy Moorhead

LBN: Sanford Medical Center Fargo
Sanford Pharmacy Moorhead is an health care organization with primary practice located at 4000 28Th Ave S , Moorhead MN 56560. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Clinic Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Sanford Medical Center Fargo can be contacted via phone (701) 234-3250, or through Morrison, Tony Lee via phone (605) 328-8380.

Contact Information

Primary practice address
4000 28Th Ave S Moorhead MN 56560
Phone: (701) 234-3250
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Morrison, Tony Lee
Phone: (605) 328-8380

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 2602723 Minnesota
Suppliers / Clinic Pharmacy 3336C0002X 2602723 Minnesota

Profile Details

NPI number 1124122783
LBN Legal business name Sanford Medical Center Fargo
DBA Doing business as Sanford Pharmacy Moorhead
Authorized official Morrison, Tony Lee
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Dec 12th, 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 1124122783 NPPES
Minnesota MEDICAID 1124122783
Minnesota Other 24-17081
Minnesota MEDICAID 21559
Minnesota Other 82-00338

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