Medical Pharmacy Moorhead INC
Pharmacy, Community/Retail Pharmacy in Moorhead, MN. Organization (NPI-2).
Details
- NPI
- 1215063409
- Entity type
- Organization (NPI-2)
- Legal business name
- Medical Pharmacy Moorhead INC
- Organization subpart
- No
- Enumeration date
- Feb 24, 2007
- Last updated
- Feb 20, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 260722 | MN | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | |
| 3336C0004X | Pharmacy, Compounding Pharmacy | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Medical Pharmacy Moorhead (Doing Business As)
Practice location
101 11th St SMoorhead, MN 56560-2899
Phone 218-233-7365 · Fax 218-233-5702
Mailing address
101 11th St SMoorhead, MN 56560-2899
Phone 218-233-7365 · Fax 218-233-5702
Authorized official
Sheila Nudell
President And Manager
2182337365
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All 6 Community/Retail Pharmacy providers in Moorhead · All 1,308 providers in Moorhead
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