Lisbon Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Lisbon, ND
NPI 1720150238 · NPPES record last updated Jul 21, 2010
Key facts
- NPI
- 1720150238
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 308 (ND)
- Legal business name
- LISBON PHARMACY INC
- Practice address
- 404 Main St
Lisbon, ND 58054-4142 - Phone
- (701) 683-4691
- Fax
- (701) 683-4550
- NPI assigned
- Nov 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Dennis Buchholz
- Title
- Pres
- Phone
- (701) 683-4691
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 308 | ND | Yes |
| Long Term Care Pharmacy | 3336L0003X | |||
| Mail Order Pharmacy | 3336M0002X |
Addresses
Primary practice location
404 Main St
Lisbon, ND 58054-4142
Mailing address
PO Box 113
Lisbon, ND 58054-0113
Phone (701) 683-4691
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3502970 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 020104 | Medicaid | ND |
Other names
- LISBON SHEYENNE PHARMACY
Other providers in Lisbon, ND
- Lisbon Area Health Services
- Lisbon Area Health Services
- Lisbon Area Health Services
- Lisbon Chiropractic Clinic PLLC
- Lisbon Dentistry PC
- Lisbon Vision Center, P.C.
- Kristina M Long
- Susan Marie Long
- Rudolf Loperena
- Brenda M Maddox
All providers in Lisbon, 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 Jul 21, 2010. 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.