Healthcare Provider Details

I. General information

NPI: 1801900881
Provider Name (Legal Business Name): HANKINSON DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 10/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 MAIN AVE S
HANKINSON ND
58041-4100
US

IV. Provider business mailing address

PO BOX 160
HANKINSON ND
58041-0160
US

V. Phone/Fax

Practice location:
  • Phone: 701-242-7414
  • Fax: 701-242-7173
Mailing address:
  • Phone: 701-242-7414
  • Fax: 701-242-7173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHAR4
License Number StateND
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3336M0003X
TaxonomyManaged Care Organization Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JULIE FALK
Title or Position: OWNER, PRESIDENT, PIC
Credential: PHARMD
Phone: 701-242-7414