Organization
NIS PHARMACY SERVICES LTD
Active
Other names
GuidePoint Pharmacy #109
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SCHWARTZWALD (PRESIDENT)
(218) 829-0347
Entity
Organization
Contact information
Practice address
1472 COUNTY ROAD 5, LONGVILLE, MN 56655-3002
(218) 363-2640
(218) 363-2641
Mailing address
108 S 6TH ST, BRAINERD, MN 56401-3575
(218) 829-0347
(218) 829-4701
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
264101
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140128
PK
—
Enumeration date
04/24/2013
Last updated
07/10/2013
Update your record
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