Tioga Medical Center Pharmacy

LBN: Tioga Medical Center Pharmacy
Tioga Medical Center Pharmacy is an health care organization with primary practice located at 810 N Welo St , Tioga ND 58852-7157. The organization recently has only one registered license in Suppliers / Institutional Pharmacy, which is considered as the primary health care specialty. Tioga Medical Center Pharmacy can be contacted via phone (701) 664-3305, or through Pederson, Randall K via phone (701) 664-3305.

Contact Information

Primary practice address
810 N Welo St Tioga ND 58852-7157
Phone: (701) 664-3305
Fax: (701) 664-2240
Website:
Map and Directions
Authorized official contact:
Name: Pederson, Randall K
Phone: (701) 664-3305

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X 203 North Dakota

Profile Details

NPI number 1346468154
LBN Legal business name Tioga Medical Center Pharmacy
DBA Doing business as
Authorized official Pederson, Randall K
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346468154 NPPES
North Dakota MEDICAID 21109

Popular Providers