Organization Name: | WHITE DRUG CO OF JAMESTOWN INC |
NPI Number: | 1396835237 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY WEIPPERT (EVP PHARMACY) |
Mailing Address: | 112 S Main St Hettinger |
State: | ND US |
Postal Code: | 586397031 |
Phone Number: | 7015672533 |
Fax Number: | 7015674115 |
NPI Enumeration Date: | 10/13/2006 |
NPI Last Update Date: | 05/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 400-1486 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SD |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |