SOUTHTOWN ECONODRUG, INC. (NPI# 1710977897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710977897 |
| Entity Type | Organization |
| Organization Name | SOUTHTOWN ECONODRUG, INC. |
| Practice Address |
387 11th St S Wahpeton ND 58075-4653 |
| Practice Telephone | 7016422336 |
| Practice Fax Number | 7016421470 |
| Mailing Telephone | 7016422336 |
| Mailing Fax Number | 7016421470 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2012-11-06 |
| Authorized Official Name | PAULA L. MCDONALD (PRESIDENT) |
| Authorized Official Telephone | 7016422336 |
| Authorized Official Credential | R.PH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
152 | ND | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 091062700 | 05 | |
| ND | 21128 | 05 | |
| ND | MEDICARE PART B NSC# | 0776850001 | 01 |
| SD | 9167120 | 05 |
| Street Address |
387 11TH ST S |
| City | WAHPETON |
| State | ND |
| Zip Code | 58075-4653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275799751 | Ashley M Krump | Pharmacist | 387 11th St S, Wahpeton, ND 58075-4677 | 2008-08-04 |
| 1306893052 | Paula L Myron | Pharmacist | 387 11th St S, Wahpeton, ND 58075-4653 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861745838 | Benedictine Living Community of Wahpeton | Skilled Nursing Facility | 711 14th Avenue North, Wahpeton, ND 58075 | 2012-10-16 |
| 1538385844 | Michelle Catherine Stach | Physical Therapy Assistant | 1307 4 Ave North, Wahpeton, ND 58075 | 2007-04-17 |
| 1881717122 | Red River Human Services Foundation | Intermediate Care Facility, Mentally Retarded | 1348 15th Av N, Wahpeton, ND 58075 | 2007-04-10 |
| 1972626216 | Red River Human Services Foundation | Intermediate Care Facility, Mentally Retarded | 821 Western Rd, Wahpeton, ND 58075 | 2007-04-10 |
| 1700908589 | Red River Human Services Foundation | Intermediate Care Facility, Mentally Retarded | 348 14th St N, Wahpeton, ND 58075 | 2007-04-04 |
| 1275626053 | Richland County | Public Health or Welfare | 413 3rd Avenue North, Wahpeton, ND 58075 | 2006-10-02 |
| 1962503896 | Brian James Quamme | Dentist | 910 16th Ave N, Wahpeton, ND 58075 | 2006-09-25 |
| 1083720114 | Judith Kay Schmidt | Dentist | 2005 Woodland Drive, Wahpeton, ND 58075 | 2006-08-22 |
| 1891240354 | Concept Dentistry PC | Dentist | 1999 4th St N, Wahpeton, ND 58075 | 2016-08-24 |
| 1255704318 | Mandy Naumann | Physical Therapist | 332 2nd Ave N, Wahpeton, ND 58075 | 2015-11-10 |
| Find all providers in zip 58075 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053879734 | Mpnd,inc | Pharmacy | 2050 Sheyenne Street, West Fargo, ND 58078 | 2019-03-12 |
| 1912416876 | Lifescript Pharmacy Pllc | Pharmacy | 5670 38th Ave S Unit A, Fargo, ND 58104-9051 | 2017-09-23 |
| 1205231990 | N D Pharmacy Inc | Pharmacy | 1283 Roughrider Blvd, Dickinson, ND 58601-6780 | 2014-10-24 |
| 1063839496 | G & G Rx Inc | Pharmacy | 1500 14th Street West, Suite 150, Williston, ND 58801-5303 | 2014-03-24 |
| 1962706036 | Inhealth Specialty Pharmacy, Inc. | Pharmacy | 2345 25th St S Ste C, Fargo, ND 58103-6173 | 2011-01-05 |
| 1982826756 | Integrated Health Marketing LLC | Pharmacy | 5675 26th Ave S Ste 136a, Fargo, ND 58104-8975 | 2007-05-02 |
| 1689725434 | Tioga Drug Inc | Pharmacy | 106 N. Main St., Tioga, ND 58852 | 2007-01-16 |
| 1891855326 | Sanger Inc | Pharmacy | 4101 13th Ave S, Fargo, ND 58103-3342 | 2006-12-12 |
| 1457419962 | Johnson Drug Co | Pharmacy | 2522 N Broadway, Fargo, ND 58102 | 2006-12-05 |
| 1306931977 | B & E Pharmacy Services Inc | Pharmacy | 2015 Library Circle, Grand Forks, ND 58201 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTHTOWN ECONODRUG, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.