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Altru Health System

NPI 1457629834ActiveOrganization· Pharmacy· Grand Forks, ND

Pharmacy in Grand Forks, North Dakota, registered in NPPES in December 2011, part of Altru Health System. The authorized official on file is Derek Goebel, Cfo.

Overview

NPI1457629834
StatusActive
Entity typeOrganization (subpart)
Parent organizationAltru Health System
NPI issuedDec 13, 2011
Last updated in NPPESNov 4, 2025
Certified by providerNov 4, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pharmacy providers in Grand Forks

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