Sanford Pharmacy Moorhead is an authorized DME supplier for medicare equipments and products.
Sanford Pharmacy Moorhead is a Clinic Pharmacy in Moorhead, Minnesota. This pharmacy is owned and operated by Sanford Medical Center Fargo. 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 Pharmacy Moorhead 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 Pharmacy Moorhead is 2602723 for Clinic Pharmacy in Minnesota. Sanford Pharmacy Moorhead accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Sanford Pharmacy Moorhead 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 Pharmacy Moorhead 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 Pharmacy Moorhead
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 Pharmacy Moorhead 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 Pharmacy Moorhead 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 Pharmacy Moorhead 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
Fax Number:
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Patients can reach Sanford Pharmacy Moorhead at 4000 28th Ave S, Moorhead, Minnesota or can call on customer care at 701-234-3250.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.