Organization
BLACK FOREST PHARMACY SERVICES LTD
Active
Other names
GUIDEPOINT PHARMACY #101
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE SCHWARTZWALD RPH (PRESIDENT)
(218) 829-0347
Entity
Organization
Contact information
Practice address
108 S 6TH ST, BRAINERD, MN 56401-3575
(218) 829-0347
(218) 829-4701
Mailing address
108 S 6TH ST, BRAINERD, MN 56401-3575
(218) 829-0347
(218) 829-4701
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
261373
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2045758
PK
—
05
—
842987100
—
MN
Enumeration date
08/19/2006
Last updated
01/06/2016
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