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Organization
FAMILY HEALTH SYSTEMS OF MOOSE LAKE INC
Active
Organization
FAMILY HEALTH SYSTEMS OF MOOSE LAKE INC
Active
Other names
Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL STORCK (COO)
(217) 485-5671
Entity
Organization
Contact information
Practice address
4570 COUNTY HWY 61, MOOSE LAKE, MN 55767-9419
(218) 485-2111
(218) 485-8256
Mailing address
710 SOUTH KENWOOD AVE, MOOSE LAKE, MN 55767
(218) 485-5671
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
2608565
MN
3336C0003X
Community/Retail Pharmacy
2608565
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28557900
—
MN
Enumeration date
07/06/2006
Last updated
09/11/2025
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