Organization
BRAINERD MEDICAL CENTER INC
Active
Parent organization
ESSENTIA HEALTH
Other names
Essentia Health Pine River 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
280 BARCLAY AVE W, STE 1100, PINE RIVER, MN 56474
(218) 587-3222
Mailing address
280 BARCLAY AVE W STE 1100, PINE RIVER, MN 56474-5197
(218) 587-3222
(218) 587-3338
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
12/17/2018
Last updated
02/23/2024
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