Organization
SANFORD HEALTH OF NORTHERN MINNESOTA
Active
Other names
Sanford Pharmacy 1611 Anne St 340B, Sanford Pharmacy 1611 Anne St
Organization subpart
No
Provider details
NPI number
Authorized official
TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE)
(605) 328-8380
Entity
Organization
Contact information
Practice address
1611 ANNE ST NW, BEMIDJI, MN 56601-5114
(218) 333-2450
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2430154
NCPDP
—
Enumeration date
05/07/2018
Last updated
01/23/2025
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