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Organization
CUYUNA LAKES PHARMACY LLC
Active
Organization
CUYUNA LAKES PHARMACY LLC
Active
Other names
Cuyuna Lakes Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISE N DURGIN PHARMD (DIRECTOR)
(218) 546-2345
Entity
Organization
Contact information
Practice address
320 E MAIN ST, CROSBY, MN 56441-1645
(218) 546-2345
(218) 546-4330
Mailing address
320 E MAIN ST, CROSBY, MN 56441-1645
(218) 546-2345
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
2620093
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001926201
MPS
MN
01
—
2424290
NABP
MN
01
—
49F29CU
BCBS OF MINNESOTA
MN
Enumeration date
04/23/2007
Last updated
05/17/2023
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