Md Pharmacy Llc, NPI 1740938935
Long Term Care Pharmacy in Fargo, 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 1740938935
NPI Entity Type Organization
Provider Name Md Pharmacy Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 4101 13th Ave S Ste S, Fargo, ND, US
Provider Mailing Address 4101 13th Ave S Ste S, Fargo, ND, US, 581032108
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name DR. PHARMD, RPH Dustin Charles Groff
Official Position OWNER / PHARMACIST
Phone 701-364-5690

Primary Taxonomy

Taxonomy Code

3336L0003X

Taxonomy Name Long Term Care Pharmacy
Classification

Pharmacy

Group

Suppliers

Description A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Other Organization Name

M-D Pharmacy LTC
Doing Business As

Business Address

Md Pharmacy Llc
4101 13th Ave S Ste S

Fargo, ND, US

Phone: 701-364-5690
Fax: 701-235-6159

Mailing Address

Md Pharmacy Llc
4101 13th Ave S Ste S
Fargo, ND, US
ZIP 581032108
Phone: 701-364-5690
Fax: 701-235-6159

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

333600000X

Suppliers

Pharmacy

No

3336C0003X

Suppliers

Pharmacy

No

3336S0011X

Suppliers

Pharmacy

No

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LCSW Erika Louise Lake

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LPCC Megan Tarryn Degenstein

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Mental Health Counselor

1330 23rd St S

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