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Organization

ST JOSEPH'S MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID L PILOT (CFO)
(218) 828-7642
Entity
Organization

Contact information

Practice address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 828-7360
(218) 828-7369
Mailing address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 828-7360
(218) 828-7369

Taxonomy

Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
200543-0
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200543-0
PHARMACY LICENSE
MN
Enumeration date
01/10/2007
Last updated
03/07/2023
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