Organization
GLEN ULLIN PHARMACY LLC
Active
Organization
GLEN ULLIN PHARMACY LLC
Active
Other names
Glen Ullin Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL MOORE CHURCHILL PHARMD (PRESIDENT)
(701) 224-0339
Entity
Organization
Contact information
Practice address
113 S MAIN ST, GLEN ULLIN, ND 58631-7101
(701) 348-3303
(701) 348-3913
Mailing address
PO BOX 636, GLEN ULLIN, ND 58631-0636
(701) 348-3303
(701) 348-3913
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
789
ND
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153034
PK
—
Enumeration date
12/19/2007
Last updated
09/02/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up