Organization
HENDRIX HEALTH CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA STENGL PHARM.D. (PHARMACIST IN CHARGE)
(218) 477-5875
Entity
Organization
Contact information
Practice address
1104 7TH AVE S, MOORHEAD, MN 56563-0001
(218) 477-5875
(218) 477-5855
Mailing address
1104 7TH AVE S # 92, MOORHEAD, MN 56563-0001
(218) 477-5875
(218) 477-5855
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1170599
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008107
STATE LICENSE NUMBER
MN
05
—
21277
—
ND
05
—
930019800
—
MN
Enumeration date
03/01/2007
Last updated
03/07/2023
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