Organization · Type 2 NPI

North Dakota State University

Clinic Pharmacy · Fargo, ND

NPI number 1194805796 Active

Practice location

301 Np Avenue
Fargo, ND 58102

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy Primary	3336C0002X	117 (ND)

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

2 other providers at this address

Other clinic pharmacy providers in Fargo

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NPI record

NPI: 1194805796
Entity type: Organization (Type 2)
Issued: Oct 17, 2006
Last updated: Aug 24, 2022
Status: Active
Subpart: Yes of North Dakota State University

Other names

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Family Healthcare Pharmacy, Ndsu · doing business as
Family Healthcare Pharmacy, Ndsu · doing business as

Authorized official

Jennifer Iverson, RPH
Pharmacist In Charge
(701) 271-6383

Verify this record

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 1194805796

North Dakota State University's National Provider Identifier is 1194805796, issued on Oct 17, 2006. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Fargo, ND. The record was last updated on Aug 24, 2022.