Organization
ESSENTIA HEALTH VIRGINIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA PARKS (PHARMACIST)
(218) 749-9414
Entity
Organization
Contact information
Practice address
901 9TH ST N, VIRGINIA, MN 55792-2325
(218) 749-9414
(218) 749-9565
Mailing address
901 9TH ST N, VIRGINIA, MN 55792-2325
(218) 749-9414
(218) 749-9565
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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