Northbrook Drug

LBN: Thomas Moe
Northbrook Drug is an health care organization with primary practice located at 1929 N Washington St Ste C, Bismarck ND 58501-1616. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Thomas Moe can be contacted via phone (701) 258-1412, or through Moe, Tom via phone (701) 258-1412.

Contact Information

Primary practice address
1929 N Washington St Ste C Bismarck ND 58501-1616
Phone: (701) 258-1412
Fax: (701) 258-1413
Website:
Map and Directions
Authorized official contact:
Name: Moe, Tom RPH
Phone: (701) 258-1412

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 20 North Dakota

Profile Details

NPI number 1144231705
LBN Legal business name Thomas Moe
DBA Doing business as Northbrook Drug
Authorized official Moe, Tom RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Aug 1st, 2011 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144231705 NPPES
North Dakota MEDICAID 20617
North Dakota Other 3502033

Popular Providers