Organization
SANFORD HEALTH OF NORTHERN MINNESOTA
Active
Other names
Sanford Pharmacy 1611 Anne St
Organization subpart
No
Provider details
NPI number
Authorized official
TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE)
(605) 328-8380
Entity
Organization
Contact information
Practice address
1611 ANNE ST NW STE 1, BEMIDJI, MN 56601-5114
(218) 333-2450
(218) 333-2455
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
263522
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125086
PK
—
01
—
2430154
NCPDP
—
Enumeration date
05/19/2010
Last updated
05/05/2025
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