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Contact Information

NORTHERN ITASCA HOSPITAL PHARMACY
258 PINE TREE DRIVE
BIGFORK, MN56628-0258
 Phone: 218-743-4225
 Fax: 218-743-4313
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for NORTHERN ITASCA HOSPITAL PHARMACY

NPI Number 1740558634
LBN Legal business name NORTHERN ITASCA HOSPITAL PHARMACY
Authorized official HAROLD ODEGAARD - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/06/2011
Last updated 03/07/2023 - About 3 years ago
Identifiers
MN License # 261307
MN Other 261307 LICENSE
MN Other 2421864 NCPDP
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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