Organization
NIS PHARMACY SERVICES, LTD
Active
Other names
GuidePoint Pharmacy #108
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SCHWARTZWALD RPH (PRESIDENT)
(218) 829-3476
Entity
Organization
Contact information
Practice address
23962 SMILEY RD, NISSWA, MN 56468-2386
(218) 963-7525
(218) 963-4722
Mailing address
14091 BAXTER DR, BAXTER, MN 56425-8699
(218) 829-3473
(218) 454-0353
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
264109
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2407155
NCPDP
MN
Enumeration date
04/13/2016
Last updated
04/13/2016
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