Hazen Health Pharmacy
Organization Active NPI Pharmacy · Hazen, ND
NPI 1881310282 · NPPES record last updated Oct 18, 2022
Key facts
- NPI
- 1881310282
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- HAZEN HEALTH PHARMACY
- Practice address
- 30 Main St W
Hazen, ND 58545-4205 - Phone
- (701) 748-2312
- Fax
- (701) 748-2637
- NPI assigned
- Oct 17, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- BEULAH DRUG COMPANY
Authorized official
- Name
- Wyatt Eldon Martenson, PHARMD
- Title
- Owner/President
- Phone
- (701) 873-5215
Parent organization (reported in NPPES) 1
Practitioners 3
-
Wyatt Eldon Martenson, PHARMD
-
Noell Debra Just, RPH
-
Sarah Rose Ness, PHARMD
National Provider Directory
- Part of
- Beulah Drug Company
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Yes | ||
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
30 Main St W
Hazen, ND 58545-4205
Mailing address
PO Box 669
Hazen, ND 58545-0669
Phone (701) 748-2312
Other providers in Hazen, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2022. 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.