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Organization
BRAINERD MEDICAL CENTER INC.
Active
Organization
BRAINERD MEDICAL CENTER INC.
Active
Parent organization
ESSENTIA HEALTH
Other names
Essentia Health Staples Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
ESSENTIA HEALTH
Authorized official
KEVIN BOREN (VP OF FINANCE)
(218) 786-1009
Entity
Organization
Contact information
Practice address
301 2ND AVE NW STE 1010, STAPLES, MN 56479-3336
(218) 894-7850
(218) 894-7859
Mailing address
PO BOX 34, STAPLES, MN 56479-0034
(218) 894-7850
(218) 894-7859
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
07/03/2024
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