Organization
SANFORD HEALTH OF NORTHERN MINNESOTA
Active
Other names
Sanford Pharmacy Bemidji
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
1233 34TH ST NW STE C, BEMIDJI, MN 56601
(218) 333-5265
(218) 333-5250
Mailing address
1233 34TH ST NW, BEMIDJI, MN 56601-5112
(218) 333-5265
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
360230
MN
3336C0002X
Clinic Pharmacy
Primary
260530
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679677124
—
MN
01
—
2414504
NCPDP
—
01
—
82-00337
MEDICA
—
Enumeration date
09/12/2006
Last updated
04/11/2023
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