Organization · Type 2 NPI

North Dakota State University

Clinic Pharmacy · Fargo, ND

NPI number 1972000768 Active

Practice location

4025 9th Ave S Ste D
Fargo, ND 58103-2101

Fax (701) 364-9938

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy Primary	3336C0002X	PHAR252 (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.

4 other providers at this address

Other clinic pharmacy providers in Fargo

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NPI record

NPI: 1972000768
Entity type: Organization (Type 2)
Issued: Apr 9, 2018
Last updated: Feb 20, 2025
Status: Active
Subpart: Yes of North Dakota State University

Other names

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Family Healthcare Pharmacy South · doing business as

Authorized official

Nicole Daniel, RPH
Pharmacist In Charge
(701) 551-2446

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 1972000768

North Dakota State University's National Provider Identifier is 1972000768, issued on Apr 9, 2018. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Fargo, ND. The record was last updated on Feb 20, 2025.