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Organization
COOK HOSPITAL PHARMACY
Active
Organization
COOK HOSPITAL PHARMACY
Active
Parent organization
COOK HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOK HOSPITAL
Authorized official
MARIE LJOSENVOOR PHARMD (DIRECTOR OF PHARMACY)
(218) 666-6229
Entity
Organization
Contact information
Practice address
10 5TH ST SE, COOK, MN 55723-9702
(218) 666-6229
(218) 666-6249
Mailing address
10 5TH ST SE, COOK, MN 55723-9702
(218) 666-6229
(218) 666-6249
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
260751-1
MN
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2418716
NCPDP
MN
05
—
752547800
—
MN
Enumeration date
02/20/2007
Last updated
02/27/2019
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