Organization
NOVACEK HEALTHMART PHARMACY LLC
Active
Other names
Novacek HealthMart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN NOVACEK (OWNER/CHIEF PHARMACIST)
(218) 469-0631
Entity
Organization
Contact information
Practice address
122 STATE HWY 11 E, GREENBUSH, MN 56726
(218) 782-3456
(218) 782-3458
Mailing address
PO BOX 278, GREENBUSH, MN 56726-0278
(218) 782-2221
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
263641
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2430584
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/21/2011
Last updated
04/06/2011
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