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Sanford Medical Center Fargo
Clinic Pharmacy in Moorhead, Minnesota
NPI 1124122783

Sanford Medical Center Fargo is a Clinic Pharmacy based in Moorhead, MN and is specialized in Clinic Pharmacy. Sanford Medical Center Fargo practices in Moorhead, MN. The NPI Number for Sanford Medical Center Fargo is 1124122783 and holds a License No. 2602723 (Minnesota).

The current practice location address for Sanford Medical Center Fargo is 4000 28Th Ave S, Moorhead, MN and can be reached out via phone at 701-234-3250.

Location: 4000 28Th Ave S, Moorhead, MN, 56560-7926
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124122783
Provider Name
Sanford Medical Center Fargo
Credential
Provider Entity Type
Organization
Address
4000 28Th Ave S, Moorhead, MN, 56560-7926
Phone Number
701-234-3250
Fax Number
Provider Enumeration Date
09/12/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1124122783 05 MN
24-17081 01 NCPDP
21559 05 ND
82-00338 01 MEDICA
institution
Provider Business Practice Location Address Details
Address
4000 28Th Ave S
City
Moorhead
State
Minnesota
Zip
56560
Phone Number
701-234-3250
Fax Number
person
Provider Business Mailing Address Details
Address
4000 28Th Ave S
City
Moorhead
State
Minnesota
Zip
56560
Phone Number
701-234-3250
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
2602723 (Minnesota)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
2602723 (Minnesota)
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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