Organization
MINNESOTA STATE COLLEGES
Active
Other names
ST. CLOUD STATE UNIVERSITY HEALTH SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN LEAF BS (PHARMACIST IN CHARGE)
(320) 308-4852
Entity
Organization
Contact information
Practice address
251 6TH ST S, SAINT CLOUD, MN 56301-4491
(320) 308-4852
(320) 308-4878
Mailing address
720 4TH AVE S, SAINT CLOUD, MN 56301-4442
(320) 308-4852
(320) 308-4878
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
200814
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2045128
PK
—
05
—
492760500
—
MN
Enumeration date
03/11/2006
Last updated
10/11/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us