# CENTRACARE HEALTH SYSTEM-NR LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CentraCare Health - Monticello
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831256320
- **Authorized official:** REBECCA LECHNER (PHARMACY TECHNICIAN)
- **Authorized official phone:** (763) 271-2251

## Contact information

- **Practice address:** 1013 HART BLVD, MONTICELLO, MN 55362-8575
- **Practice address phone:** (763) 271-2251
- **Practice address fax:** (763) 271-2346
- **Mailing address:** 1013 HART BLVD, MONTICELLO, MN 55362-8575
- **Mailing address phone:** (763) 271-2251
- **Mailing address fax:** (763) 271-2346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 264079 | MN | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 06/15/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2145661 | PK | — |