Organization
ST CLOUD HOSPITAL
Active
Other names
CentraCare - St. Cloud Hospital Specialty Pharmacy, CentraCare Pharmacy Health Plaza
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW P KUNKEL (VICE PRESIDENT)
(320) 251-2700
Entity
Organization
Contact information
Practice address
1900 CENTRACARE CIRCLE, SUITE 0550, ST. CLOUD, MN 56303
(320) 229-4930
(320) 650-1778
Mailing address
1406 6TH AVENUE NORTH, ST. CLOUD, MN 56303
(320) 229-4904
(320) 229-5168
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
05/14/2021
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