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Organization
SANFORD BISMARCK
Active
Organization
SANFORD BISMARCK
Active
Other names
Sanford Nursing Home Pharmacy, Sanford Bismarck Nursing Home Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE)
(605) 328-8380
Entity
Organization
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-5930
(701) 323-5931
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(701) 323-5930
(701) 323-5931
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHAR187A
ND
3336H0001X
Home Infusion Therapy Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467982
—
ND
01
—
2159316
PK
—
Enumeration date
04/11/2016
Last updated
01/24/2025
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