Organization Name: | WHITE DRUG CO OF JAMESTOWN INC |
NPI Number: | 1730369711 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY WEIPPERT (EVP PHARMACY) |
Mailing Address: | 4255 30th Ave S Fargo |
State: | ND US |
Postal Code: | 581048427 |
Phone Number: | 7014788953 |
Fax Number: | 7014788954 |
NPI Enumeration Date: | 11/07/2007 |
NPI Last Update Date: | 11/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | PHAR702 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ND |
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 |