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Organization

PERHAM HOSPITAL DISTRICT

Active
Parent organization
PERHAM HOSPITAL DISTRICT
Other names
Perham Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
PERHAM HOSPITAL DISTRICT
Authorized official
DUANE WALLACE RPH (DIRECTOR OF PHARMACY)
(218) 347-1571
Entity
Organization

Contact information

Practice address
1000 CONEY ST W, PERHAM, MN 56573-2102
(218) 347-1571
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
(952) 653-2525

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
03/25/2014
Last updated
03/25/2014
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