Organization
PAMIDA STORES OPERATING CO LLC
Active
Other names
Pamida Pharmacy 13
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HARLOW (CEO/PRESIDENT)
(402) 596-7206
Entity
Organization
Contact information
Practice address
801 JEFFERSON ST N, WADENA, MN 56482-2334
(218) 631-1546
(218) 631-1548
Mailing address
801 JEFFERSON ST N., WADENA, MN 56482-2334
(218) 631-1546
(218) 631-1548
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
262786-3
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005450100
—
MN
01
—
2425040
NCPDP
—
05
—
769418100
—
MN
Enumeration date
05/20/2006
Last updated
11/23/2009
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