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Contact Information

ANDERSON PHARMACY
115 S 2ND
HALLOCK, MN56728
 Phone: 218-843-2205
 Fax: 218-843-2205
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ANDERSON PHARMACY

NPI Number 1184786782
LBN Legal business name ANDERSON PHARMACY
Authorized official HAROLD ANDERSON - (OWNER RPH)
Entity Organization
Organization subpart 1 No
Enumeration date 12/14/2006
Last updated 09/28/2007 - About 19 years ago
Identifiers
MN License # 2047142
MN Medicaid 274357400
Other AA7257276 COMBINED SUBTURE REGISTER
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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