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Organization

SANFORD CLINIC NORTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KARLA EISCHENS (DIRECTOR OF PHARMACY OPERATIONS)
(218) 333-5543
Entity
Organization

Contact information

Practice address
1233 34TH ST NW, SANFORD CLINIC PHARMACY, BEMIDJI, MN 56601-5112
(218) 333-5265
(218) 333-5250
Mailing address
1233 34TH ST NW, SANFORD CLINIC PHARMACY, BEMIDJI, MN 56601-5112
(218) 333-5265
(218) 333-5250

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115828
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
115828
MN BOARD OF PHARMACY LICENSE
MN
Enumeration date
04/12/2017
Last updated
05/07/2018
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