Southtown Econodrug, Inc.

LBN: Southtown Econodrug, Inc.
Southtown Econodrug, Inc. is an health care organization with primary practice located at 387 11Th St S , Wahpeton ND 58075-4653. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Southtown Econodrug, Inc. can be contacted via phone (701) 642-2336, or through Mcdonald, Paula L. via phone (701) 642-2336.

Contact Information

Primary practice address
387 11Th St S Wahpeton ND 58075-4653
Fax: (701) 642-1470
Website:
Authorized official contact:
Name: Mcdonald, Paula L. R.PH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 152 North Dakota

Profile Details

NPI number 1710977897
LBN Legal business name Southtown Econodrug, Inc.
DBA Doing business as
Authorized official Mcdonald, Paula L. R.PH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2005
Last updated Nov 6th, 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 1710977897 NPPES
North Dakota MEDICAID 21128
North Dakota MEDICAID 9167120
North Dakota MEDICAID 091062700
North Dakota Other 0776850001

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