Organization · Type 2 NPI

Sanford Medical Center Fargo

Community/Retail Pharmacy · Fargo, ND

NPI number 1235173519 Active

Practice location

737 Broadway N
Fargo, ND 58102-4421

Call (701) 234-2416 Map

Fax (701) 234-2433

Other practice locations

820 4th St N, Fargo, ND 58102-4539 · (701) 234-7554

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	309 (ND)
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	309 (ND)
Home Infusion Therapy Pharmacy	3336H0001X	309 (ND)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

35 other providers at this address

Other community/retail pharmacy providers in Fargo

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NPI record

NPI: 1235173519
Entity type: Organization (Type 2)
Issued: Jun 16, 2006
Last updated: Jul 30, 2024
Status: Active

Other names

<unavail>
Sanford Pharmacy Broadway · doing business as
Sanford Pharmacy Broadway · doing business as
Sanford Pharmacy Roger Maris · doing business as

Authorized official

Tony Lee Morrison
VP Revenue Cycle
(605) 328-8380

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 1235173519

Sanford Medical Center Fargo's National Provider Identifier is 1235173519, issued on Jun 16, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Fargo, ND. The record was last updated on Jul 30, 2024.