Medical Pharmacy South Inc
Community/Retail Pharmacy
4151 45th St S, Fargo
North Dakota, 58104-4312
701-282-8075 701-282-8594
Medical Pharmacy South Inc is a Community/Retail Pharmacy in Fargo, North Dakota. It is located at 4151 45th St S, Fargo and it's customer support contact number is 701-282-8075. The authorized person of Medical Pharmacy South Inc is Lana Kirschenmann, PHARM D who is President of the pharmacy and his contact number is 701-282-8075. Active license number of Medical Pharmacy South Inc is 408 for Community/Retail Pharmacy in North Dakota. Medical Pharmacy South Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Medical Pharmacy South Inc is 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 health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Medical Pharmacy South Inc 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: | Medical Pharmacy South Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 4151 45th St S, Fargo,
North Dakota, 58104-4312 |
| Phone: | 701-282-8075 |
| Fax: | 701-282-8594 |
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: | Lana Kirschenmann |
| Credentials: | PHARM D |
| Position: | President |
| Contact Number: | 701-282-8075 |
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: | 1912954165 |
| NPI Enumeration Date: | 30 May, 2006 |
| NPI Last Update On: | 25 Apr, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Medical Pharmacy South Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 408 | North Dakota | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1451212 | Medicaid | North Dakota | |
| 2071612 | Other | | Pk |
| 350035700 | Medicaid | Minnesota | |
Medicare Enrollment:
Medical Pharmacy South Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7618127150 | O20121018000708 | Medical Pharmacy South Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4151 45th St S,
Fargo, North Dakota |
| Zip: | 58104-4312 |
| Phone Number: | 701-282-8075 |
| Fax Number: | 701-282-8594 |
Patients can reach Medical Pharmacy South Inc at
4151 45th St S, Fargo, North Dakota or can
call on customer care at 701-282-8075.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.