Provider Demographics
NPI:1558379248
Name:PHARMACISTS ASSOCIATES LLC
Entity Type:Organization
Organization Name:PHARMACISTS ASSOCIATES LLC
Other - Org Name:COOPERSTOWN DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:RESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:701-797-2414
Mailing Address - Street 1:901 BURREL AVE SE
Mailing Address - Street 2:
Mailing Address - City:COOPERSTOWN
Mailing Address - State:ND
Mailing Address - Zip Code:58425-0627
Mailing Address - Country:US
Mailing Address - Phone:701-797-2414
Mailing Address - Fax:701-797-3456
Practice Address - Street 1:901 BURRELL AVE SE
Practice Address - Street 2:
Practice Address - City:COOPERSTOWN
Practice Address - State:ND
Practice Address - Zip Code:58425-0627
Practice Address - Country:US
Practice Address - Phone:701-797-2414
Practice Address - Fax:701-797-3456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDPHAR9353336C0003X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND20026Medicaid
ND1220300001Medicare NSC