Organization · Type 2 NPI

Sanford Medical Center Fargo

Pharmacy · Fargo, ND

NPI number 1174120281 Active

Practice location

5225 23rd Ave S
Fargo, ND 58104-7927

Fax (701) 234-7476

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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NPI record

NPI: 1174120281
Entity type: Organization (Type 2)
Issued: Oct 2, 2020
Last updated: Oct 2, 2020
Status: Active
Subpart: Yes of Sanford Medical Center Fargo

Other names

Sanford Pharmacy I94 340b · doing business as

Authorized official

Tony Lee Morrison
Vice President, Revenue Cycle
(605) 328-8380

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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 1174120281

Sanford Medical Center Fargo's National Provider Identifier is 1174120281, issued on Oct 2, 2020. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Fargo, ND. The record was last updated on Oct 2, 2020.