Organization
OMC RETAIL SERVICES LLC
Active
Other names
Olmsted Medical Center SE Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DORNACK (PHARMACIST IN CHARGE)
(507) 292-7255
Entity
Organization
Contact information
Practice address
210 9TH ST SE, ROCHESTER, MN 55904-6756
(507) 535-1974
(507) 281-7974
Mailing address
210 9TH ST SE, ROCHESTER, MN 55904-6756
(507) 535-1974
(507) 281-7974
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114344215
—
MN
Enumeration date
03/26/2014
Last updated
04/18/2017
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