Organization
SANFORD MEDICAL CENTER FARGO
Active
Organization
SANFORD MEDICAL CENTER FARGO
Active
Other names
Sanford Pharmacy Detroit Lakes
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
1245 WASHINGTON AVE, DETROIT LAKES, MN 56501-3905
(218) 846-2276
(701) 234-7476
Mailing address
1245 WASHINGTON AVE, DETROIT LAKES, MN 56501-3905
(701) 234-2121
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
263507
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2124937
PK
—
Enumeration date
04/22/2010
Last updated
12/12/2023
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