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Organization
NORTH SHORE PHARMACY LTD
Active
Organization
NORTH SHORE PHARMACY LTD
Active
Other names
Arrowhead Ventures Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COREY TODD MALSTROM PHARMD (PRESIDENT)
(612) 240-7571
Entity
Organization
Contact information
Practice address
21 WEST HIGHWAY 61, GRAND MARAIS, MN 55604
(218) 387-1133
(218) 387-2169
Mailing address
133 SUMMIT ST STE 337, DULUTH, MN 55803
(612) 240-7571
(844) 674-6737
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2602558
MN
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
263022
MN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002432000
—
MN
05
—
460258700
—
MN
Enumeration date
12/19/2006
Last updated
03/19/2019
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