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Contact Information

NICHOLAS BOREEN, PHARM.D.
20 W MAIN ST
CROSBY, MN56441-1422
 Phone: 218-546-5144
 Fax: 218-546-7238
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for

NPI Number 1740839570
Entity Organization
Organization subpart 1 Not specified
Enumeration date 09/04/2019
Last updated 09/04/2019 - About 7 years ago
Identifiers
MN License # 124462
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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