Beulah Drug Company, NPI 1295778082
Community/Retail Pharmacy in Beulah, ND, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1295778082
NPI Entity Type Organization
Provider Name Beulah Drug Company
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 147 W Main St, Beulah, ND, US
Provider Mailing Address Po Box 99, Beulah, ND, US, 585230099
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name PHARMD Wyatt Eldon Martenson
Official Position OWNER/PIC
Phone 701-873-5215

Primary Taxonomy

Taxonomy Code

3336C0003X

Taxonomy Name Community/Retail Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. PHAR145
License State ND
Description A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Other Organization Name

BEULAH DRUG COMPANY
Doing Business As

Business Address

Beulah Drug Company
147 W Main St

Beulah, ND, US

Phone: 701-873-5215
Fax: 701-873-4908

Mailing Address

Beulah Drug Company
Po Box 99
Beulah, ND, US
ZIP 585230099
Phone: 701-873-5215
Fax: 701-873-4908

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

333600000X

Suppliers

Pharmacy

No

3336C0004X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
2070746 PK 01
1451296 ND MEDICAID 05

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