Warroad Heritage Pharmacy

LBN: Warroad Heritage Inc
Warroad Heritage Pharmacy is an health care organization with primary practice located at 321 Lake St Ne , Warroad MN 56763-2305. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Warroad Heritage Inc can be contacted via phone (218) 386-1088, or through Erickson, Jeanne via phone (218) 386-1088.

Contact Information

Primary practice address
321 Lake St Ne Warroad MN 56763-2305
Phone: (218) 386-1088
Fax: (218) 386-1780
Website:
Map and Directions
Authorized official contact:
Name: Erickson, Jeanne RPH
Phone: (218) 386-1088

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 200560 Minnesota
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1932122918
LBN Legal business name Warroad Heritage Inc
DBA Doing business as Warroad Heritage Pharmacy
Authorized official Erickson, Jeanne RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Oct 3rd, 2011 - about 15 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 1932122918 NPPES
Other 2412081 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 611760100 NCPDP PROVIDER IDENTIFICATION NUMBER

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