# SANFORD BISMARCK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sanford Nursing Home Pharmacy, Sanford Bismarck Nursing Home Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679937155
- **Authorized official:** TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE)
- **Authorized official phone:** (605) 328-8380

## Contact information

- **Practice address:** 300 N 7TH ST, BISMARCK, ND 58501-4439
- **Practice address phone:** (701) 323-5930
- **Practice address fax:** (701) 323-5931
- **Mailing address:** PO BOX 5074, SIOUX FALLS, SD 57117-5074
- **Mailing address phone:** (701) 323-5930
- **Mailing address fax:** (701) 323-5931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | PHAR187A | ND | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/11/2016
- **Last updated:** 01/24/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1467982 | — | ND |
| 01 | — | 2159316 | PK | — |