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Organization

BINGAMITE

Active
Other names
PASEK PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES KORSCH RPH (CEO)
(218) 722-3977
Entity
Organization

Contact information

Practice address
113 N 2ND AVE W, DULUTH, MN 55802-1911
(218) 722-3977
(218) 726-9087
Mailing address
113 N 2ND AVE W, DULUTH, MN 55802-1911
(218) 722-3977
(218) 726-9087

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
200610-9
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24-22638
NABP
MN
Enumeration date
02/12/2007
Last updated
12/10/2008
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