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Contact Information

ELK RIVER PHARMACY
323 JACKSON AVE NW
ELK RIVER, MN55330
 Phone: 763-441-1353
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ELK RIVER PHARMACY

NPI # 1013915040
LBN Legal business name ELK RIVER PHARMACY
Authorized official DEBORAH LEEDAHL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/13/2005
Last updated 12/20/2017 - About 8 years ago
Identifiers
MN License # 261701
MN License # 265251
Other 2043890 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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