West Acres Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Fargo, ND
NPI 1487783262 · NPPES record last updated Jun 19, 2015
Key facts
- NPI
- 1487783262
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHAR113 (ND)
- Legal business name
- WEST ACRES PHARMACY INC
- Practice address
- 3902 13TH Ave S
Ste 3706
Fargo, ND 58103-3357 - Phone
- (701) 282-0285
- Fax
- (701) 281-2728
- NPI assigned
- Mar 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Rodney Loberg
- Title
- Manager and Partner
- Phone
- (701) 282-0285
Practitioners 1
-
Dillon Jerome Boe, RPH
National Provider Directory
Locations
3902 13th Ave S
Ste 3706
Fargo, ND 58103
Phone (701) 282-0285
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHAR113 | ND | Yes |
Addresses
Primary practice location
3902 13TH Ave S
Ste 3706
Fargo, ND 58103-3357
Mailing address
3902 13TH Ave S
Ste 3706
Fargo, ND 58103-3357
Phone (701) 282-0285
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20857 | Medicaid | ND | |
| 878057900 | Medicaid | MN | |
| 2071325 | Other | PK |
Other names
- WEST ACRES PHARMACY
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All providers in Fargo, ND · Community/Retail Pharmacy in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.