Provider Demographics
NPI:1003275348
Name:INSPIRE PHARMACY INC
Entity Type:Organization
Organization Name:INSPIRE PHARMACY INC
Other - Org Name:INSPIRE PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:SWISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-757-4407
Mailing Address - Street 1:360 DIVISION AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-4702
Mailing Address - Country:US
Mailing Address - Phone:701-757-4407
Mailing Address - Fax:701-757-4408
Practice Address - Street 1:360 DIVISION AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-4702
Practice Address - Country:US
Practice Address - Phone:701-757-4407
Practice Address - Fax:701-757-4408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-15
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NDPHAR5803336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2158191OtherPK