Organization
NORTHERN PINES MEDICAL CENTER
Active
Other names
ESSENTIA HEALTH NORTHERN PINES MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES TOMSCHE RPH (DIRECTOR OF ACUTE CARE PHARMAC)
(218) 786-4346
Entity
Organization
Contact information
Practice address
5211 HIGHWAY 110, AURORA, MN 55705-1522
(218) 229-4210
(218) 229-4261
Mailing address
5211 HIGHWAY 110, AURORA, MN 55705-1522
(218) 229-4210
(218) 229-4261
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
200749
MN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173347800
—
MN
01
—
2045668
PK
—
Enumeration date
09/28/2011
Last updated
04/26/2016
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