Organization
NIS PHARMACY SERVICES LTD
Active
Other names
GuidePoint Pharmacy #108
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE SCHWARTZWALD (PRESIDENT)
(218) 829-0347
Entity
Organization
Contact information
Practice address
23962 SMILEY RD, NISSWA, MN 56468-2386
(218) 963-7525
(218) 963-4722
Mailing address
108 S 6TH ST, BRAINERD, MN 56401-3575
(218) 963-7525
(218) 963-4722
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
264109
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140928
PK
—
Enumeration date
01/17/2008
Last updated
04/25/2014
Update your record
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