Mandan Drug is a Pharmacy in Mandan, North Dakota. Mandan Drug practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Mandan Drug is 1528062312. The last update date is 2020-08-22.
Mandan Drug's current location address is 316 W Main St # 398, Mandan, North Dakota. You can contact this provider via phone number 7016635900 and fax number 7016635311. The mailing address for Mandan Drug is 316 W Main St # 398, Mandan, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mandan Drug |
|---|---|
| Address | 316 W Main St # 398, Mandan, North Dakota |
| Phone Number | 7016635900 |
| Fax Number | 7016635311 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kruger Russel |
| Telephone Number | 7016635900 |
NPI Number Detail
| NPI Number | 1528062312 |
|---|---|
| Provider Enumeration Date | 2005-06-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 316 W Main St # 398 |
|---|---|
| City | Mandan |
| State | North Dakota (ND) |
| Post Code | 5855431440 |
| Phone Number | 7016635900 |
| Fax Number | 7016635311 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 67 |
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Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3501283 | OTHER ID NUMBER-COMMERCIAL NUM | ||
| 20801 | ND | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mandan Drug by the Centers for Medicare & Medicaid Services?
The Mandan Drug has been assigned the NPI (National Provider Identifier) 1528062312. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mandan Drug's facilities are geographically located?
The facilities of Mandan Drug are physically situated at the following location: 316 W Main St # 398, Mandan, ND, 5855431440.
What is Mandan Drug's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mandan Drug's area of specialization is Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 333600000X.
On what date did the Mandan Drug receive its 1528062312 assignment from the Centers for Medicare & Medicaid Services?
The Mandan Drug was assigned its 1528062312 by the Centers for Medicare & Medicaid Services on 2005-06-09.
As of what date was the information pertaining to Mandan Drug, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mandan Drug, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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