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Organization
SANFORD HEALTH OF NORTHERN MINNESOTA
Active
Organization
SANFORD HEALTH OF NORTHERN MINNESOTA
Active
Other names
Sanford Pharmacy Bemidji
Organization subpart
No
Provider details
NPI number
Authorized official
TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE)
(605) 328-8380
Entity
Organization
Contact information
Practice address
1233 34TH ST NW STE C, BEMIDJI, MN 56601
(218) 333-5265
(218) 333-5250
Mailing address
1233 34TH ST NW, BEMIDJI, MN 56601-5112
(218) 333-5265
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
360230
MN
3336C0002X
Clinic Pharmacy
Primary
260530
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679677124
—
MN
01
—
2414504
NCPDP
—
01
—
82-00337
MEDICA
—
Enumeration date
09/12/2006
Last updated
04/11/2023
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