Organization
FAMILY HEALTH SYSTEMS OF MOOSE LAKE INC
Active
Other names
Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL STORCK (COO)
(217) 485-5671
Entity
Organization
Contact information
Practice address
4570 COUNTY HWY 61, MOOSE LAKE, MN 55767-9419
(218) 485-2111
(218) 485-8256
Mailing address
710 SOUTH KENWOOD AVE, MOOSE LAKE, MN 55767
(218) 485-5671
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
2608565
MN
3336C0003X
Community/Retail Pharmacy
2608565
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28557900
—
MN
Enumeration date
07/06/2006
Last updated
09/11/2025
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