Organization
THE FOUNDATION FOR HEALTH CARE CONTINUUMS
Active
Other names
Country Store and Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN C KELM (CEO)
(320) 253-1920
Entity
Organization
Contact information
Practice address
520 1ST ST NE, SARTELL, MN 56377-1274
(320) 255-0801
Mailing address
520 1ST ST NE, SARTELL, MN 56377-1274
(320) 255-0801
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
261738-1
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
682650400
—
MN
Enumeration date
07/17/2006
Last updated
03/18/2010
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