Organization
CLEARWATER CNTY MEM HOSP PHCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA BERGQUIST RPH (PHARMASIST IN CHARGE)
(218) 694-6501
Entity
Organization
Contact information
Practice address
203 4TH ST NW, BAGLEY, MN 56621-8305
(218) 694-6501
(218) 694-2185
Mailing address
203 4TH ST NW, BAGLEY, MN 56621-8305
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2057721
MN
3336I0012X
Institutional Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2414681
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/24/2006
Last updated
09/11/2025
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