Western Dakota Pharmacy, Inc.
LBN: Western Dakota Pharmacy, Inc.
Western Dakota Pharmacy, Inc. is an health care organization with primary practice located at 1102 Main St , Williston ND 58801-4233. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Western Dakota Pharmacy, Inc. can be contacted via phone (701) 572-7797, or through Gratz, Gerald via phone (701) 572-7797.
Contact Information
Primary practice address
1102 Main St
Williston ND 58801-4233
Phone: (701) 572-7797
Fax: (701) 572-0937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 51 | North Dakota |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1205923406 |
|---|---|
| LBN Legal business name | Western Dakota Pharmacy, Inc. |
| DBA Doing business as | |
| Authorized official | Gratz, Gerald RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 7th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205923406 | NPPES |
| Other | 3501930 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 20176 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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