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Organization
CENTRACARE HEALTH SYSTEM-NR LLC
Active
Organization
CENTRACARE HEALTH SYSTEM-NR LLC
Active
Other names
CentraCare Health - Monticello
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA LECHNER (PHARMACY TECHNICIAN)
(763) 271-2251
Entity
Organization
Contact information
Practice address
1013 HART BLVD, MONTICELLO, MN 55362-8575
(763) 271-2251
(763) 271-2346
Mailing address
1013 HART BLVD, MONTICELLO, MN 55362-8575
(763) 271-2251
(763) 271-2346
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
264079
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145661
PK
—
Enumeration date
01/03/2007
Last updated
06/15/2017
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