Organization · Type 2 NPI

Professional Pharmacy LLC

Long Term Care Pharmacy · Bismarck, ND

NPI number 1043243272 Active

Practice location

3124 Colorado Lane, #400
Bismarck, ND 58503

Call (701) 223-6854 Map

Fax (701) 223-6856

Mailing address

3124 Colorado Ln Ste 400
Bismarck, ND 58503-5446

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	624 (ND)
Community/Retail Pharmacy	3336C0003X	624 (ND)
Long Term Care Pharmacy Primary	3336L0003X	624 (ND)

Long Term Care Pharmacy: 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 long term care pharmacy providers in Bismarck

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NPI record

NPI: 1043243272
Entity type: Organization (Type 2)
Issued: Jul 9, 2006
Last updated: Aug 20, 2025
Status: Active

Other names

<unavail>
Professional Pharmacy · doing business as
Professional Pharmacy · doing business as

Authorized official

Dr. Daniel Moore Churchill, PharmD
President
(701) 224-0339

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043243272

Professional Pharmacy LLC's National Provider Identifier is 1043243272, issued on Jul 9, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Bismarck, ND. The record was last updated on Aug 20, 2025.