Organization
FIRSTSOLUTIONS
Active
Other names
SuperiorHealth Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY R JACOBSON (CEO)
(218) 740-2330
Entity
Organization
Contact information
Practice address
99 EDISON BLVD, SUITE L, SILVER BAY, MN 55614-1211
(218) 226-3829
(218) 226-3860
Mailing address
99 EDISON BLVD, SUITE L, SILVER BAY, MN 55614-1211
(218) 226-3829
(218) 226-3860
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
260984-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790363400
—
MN
Enumeration date
07/05/2006
Last updated
12/08/2010
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