Family Medicine Residency Pharmacy

Clinic Pharmacy Accepts Medicare


  
  725 Hamline St, Grand Forks
North Dakota, 58203-2819

 701-780-6870    701-780-6878
Family Medicine Residency Pharmacy is a Clinic Pharmacy in Grand Forks, North Dakota. This pharmacy is owned and operated by Altru Health System. It is located at 725 Hamline St, Grand Forks and it's customer support contact number is 701-780-6870. The authorized person of Family Medicine Residency Pharmacy is Derek Goebel who is Chief Financial Officer of the pharmacy and his contact number is 701-780-1470. Active license number of Family Medicine Residency Pharmacy is PHAR477 for Clinic Pharmacy in North Dakota. Family Medicine Residency Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Family Medicine Residency Pharmacy is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Pharmacy Details:
Family Medicine Residency Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name: Family Medicine Residency Pharmacy
Type: Clinic Pharmacy
Location:725 Hamline St, Grand Forks,
North Dakota, 58203-2819
Phone:701-780-6870
Fax:701-780-6878
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name: Derek Goebel
Position: Chief Financial Officer
Contact Number: 701-780-1470
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number: 1144368085
NPI Enumeration Date: 02 Feb, 2007
NPI Last Update On: 23 May, 2024

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Family Medicine Residency Pharmacy are as mentioned below.
SpecializationLicense NumberStateStatus
Clinic Pharmacy PHAR477North DakotaPrimary
Pharmacy Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
21082MedicaidNorth Dakota
2071404OtherPk
574155600MedicaidMinnesota
Medicare Enrollment:
Family Medicine Residency Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
1355251604O20100930018292Altru Health SystemDME SUPPLIER - PHARMACY
Products Available:
Family Medicine Residency Pharmacy has following products available for sale under medicare.
    Products
  • Blood Glucose Monitors & Supplies: Non-mail Order
  • Business Mailing Address:
    Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
    Address: 725 Hamline St,
    Grand Forks, North Dakota
    Zip: 58203-2819
    Phone Number: 701-780-6870
    Fax Number: 701-780-6878
    Patients can reach Family Medicine Residency Pharmacy at 725 Hamline St, Grand Forks, North Dakota or can call on customer care at 701-780-6870.

    Comments/ Reviews:


    *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

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