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A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinic Pharmacy |
3336C0002X | 58 | Medical Supply Company with Pharmacist | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI Number | 1679677124 |
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| LBN Legal business name | SANFORD HEALTH OF NORTHERN MINNESOTA | ||||||||||||||||||||
| Authorized official | TONY MORRISON - (VICE PRESIDENT, REVENUE CYCLE) | ||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||
| Enumeration date | 09/12/2006 | ||||||||||||||||||||
| Last updated | 04/11/2023 - About 3 years ago | ||||||||||||||||||||
| Identifiers |
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SANFORD HEALTH OF NORTHERN MINNESOTA
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SANFORD HEALTH OF NORTHERN MINNESOTA