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Organization

NORTH SHORE PHARMACY LTD

Active
Other names
Arrowhead Ventures Inc
Organization subpart
No

Provider details

NPI number
Authorized official
MR. COREY TODD MALSTROM PHARMD (PRESIDENT)
(612) 240-7571
Entity
Organization

Contact information

Practice address
21 WEST HIGHWAY 61, GRAND MARAIS, MN 55604
(218) 387-1133
(218) 387-2169
Mailing address
133 SUMMIT ST STE 337, DULUTH, MN 55803
(612) 240-7571
(844) 674-6737

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
2602558
MN
333600000X
Pharmacy
Primary
3336C0003X
Community/Retail Pharmacy
263022
MN
3336C0003X
Community/Retail Pharmacy
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002432000
MN
05
460258700
MN
Enumeration date
12/19/2006
Last updated
03/19/2019
About Stedi
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