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Contact Information

COOK HOSPITAL PHARMACY
10 5TH ST SE
COOK, MN55723-9702
 Phone: 218-666-6229
 Fax: 218-666-6249
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

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 COOK HOSPITAL PHARMACY

NPI # 1093850844
LBN Legal business name COOK HOSPITAL PHARMACY
Authorized official MARIE LJOSENVOOR - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/20/2007
Last updated 02/27/2019 - About 7 years ago
Identifiers
MN License # 260751-1
MN Medicaid 752547800
MN Other 2418716 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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