Organization
PERHAM HOSPITAL DISTRICT
Active
Other names
PERHAM HEALTH HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE WALLACE RPH (DIRECTOR OF PHARMACY)
(218) 347-1571
Entity
Organization
Contact information
Practice address
1000 CONEY ST W, PERHAM, MN 56573-2102
(218) 347-1580
(218) 347-1652
Mailing address
1000 CONEY ST W, PERHAM, MN 56573-2102
(218) 347-1580
(218) 347-1652
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
200303
MN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2045652
PK
—
05
—
211047400
—
MN
Enumeration date
01/30/2007
Last updated
06/30/2014
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