Organization
BLACK FOREST PHARMACY SERVICES LTD
Active
Other names
GuidePoint Pharmacy #101 LTC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R SCHWARTZWALD (PRESIDENT)
(218) 829-3476
Entity
Organization
Contact information
Practice address
108 S 6TH ST STE 1, BRAINERD, MN 56401-3594
(218) 829-0347
(218) 829-4701
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
261373
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407960875
—
MN
Enumeration date
08/23/2018
Last updated
08/23/2018
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