Organization
CI PHARMACY SERVICES, LTD
Active
Other names
GuidePoint Pharmacy #106 LTC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R SCHWARTZWALD (PHARMACIST/OWNER)
(218) 829-0347
Entity
Organization
Contact information
Practice address
20 W MAIN ST, CROSBY, MN 56441-1422
(218) 546-5144
(218) 546-7238
Mailing address
14091 BAXTER DR STE 201B, BAXTER, MN 56425-8835
(218) 829-3476
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
263734
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083635270
—
MN
01
—
263734
STATE PHARMACY LICENSE
MN
Enumeration date
08/23/2018
Last updated
08/23/2018
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