Sanford Medical Center Fargo
Clinic Pharmacy
4000 28th Ave S, Moorhead
Minnesota, 56560
701-234-3250 Sanford Medical Center Fargo is a Clinic Pharmacy in Moorhead, Minnesota. It is located at 4000 28th Ave S, Moorhead and it's customer support contact number is 701-234-3250. The authorized person of Sanford Medical Center Fargo is Tony Lee Morrison who is Vice President, Revenue Cycle of the pharmacy and his contact number is 605-328-8380. Active license number of Sanford Medical Center Fargo is 2602723 for Clinic Pharmacy in Minnesota. Sanford Medical Center Fargo accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Sanford Medical Center Fargo 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:
Sanford Medical Center Fargo 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: | Sanford Medical Center Fargo |
| Type: | Clinic Pharmacy |
| Location: | 4000 28th Ave S, Moorhead,
Minnesota, 56560 |
| Phone: | 701-234-3250 |
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: | Tony Lee Morrison |
| Position: | Vice President, Revenue Cycle |
| Contact Number: | 605-328-8380 |
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: | 1124122783 |
| NPI Enumeration Date: | 12 Sep, 2006 |
| NPI Last Update On: | 12 Dec, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sanford Medical Center Fargo are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic Pharmacy | 2602723 | Minnesota | Primary | |
| Durable Medical Equipment & Medical Supplies | 2602723 | Minnesota | 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 |
| 1124122783 | Medicaid | Minnesota | |
| 24-17081 | Other | | Ncpdp |
| 21559 | Medicaid | North Dakota | |
| 82-00338 | Other | | Medica |
Medicare Enrollment:
Sanford Medical Center Fargo 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 |
| 4284546151 | O20100930073877 | Sanford Clinic North | DME SUPPLIER - PHARMACY |
| 4284546151 | O20160511000104 | Sanford Clinic North | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Sanford Medical Center Fargo 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: | 4000 28th Ave S,
Moorhead, Minnesota |
| Zip: | 56560-7926 |
| Phone Number: | 701-234-2121 |
Patients can reach Sanford Medical Center Fargo at
4000 28th Ave S, Moorhead, Minnesota or can
call on customer care at 701-234-3250.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.