MIDWEST PHARMACY OF FARGO
NPI 1336472505
Pharmacy in Fargo, ND

Active since September 04, 2009
4153 12 TH AVE. NORTH SUITE B, FARGO, ND 58102(701) 373-8504(701) 373-8506 Get Directions Write a Review

NPPES record last updated: April 22, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Midwest Pharmacy Of Fargo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDWEST PHARMACY OF FARGO (NPI 1336472505) is a healthcare organization registered as a pharmacy in Fargo, North Dakota and active in the NPI registry since September 2009. The organization lists Peter Lee, Pharmacist N Charge, as its authorized official.

NPPES Registry Identity

NPI1336472505
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMIDWEST DRUG DISTRIBUTION INC
Location Address4153 12 TH AVE. NORTH SUITE BFargo, ND 58102
Mailing Address4153 12 Th Ave. North Suite BFargo, ND 58102 · (701) 373-8504
Fax(701) 373-8506
Organization SubpartNo
Authorized OfficialPeter LeePharmacist N Charge · (701) 373-8504
Enumeration DateSeptember 4, 2009
Last NPPES UpdateApril 22, 2010
NPI 1336472505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in ND · 951
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
4153 12 TH AVE. NORTH SUITE B, Fargo, ND 58102

Other Names 1

Doing Business AsMidwest Pharmacy Of Fargo

Other Identifiers 1

Medicare NSC6331580001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Midwest Drug Distribution Inc's NPI number?

The NPI number for Midwest Drug Distribution Inc is 1336472505. It was assigned to this organization in the NPPES registry on September 4, 2009. The provider is doing business as Midwest Pharmacy Of Fargo.

Where is Midwest Drug Distribution Inc located?

Midwest Drug Distribution Inc is located at 4153 12 Th Ave. North Suite B, Fargo, ND 58102. The listed phone number is (701) 373-8504.

What is Midwest Drug Distribution Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Midwest Drug Distribution Inc was last updated on April 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.