Organization
MILLE LACS HEALTH SYSTEM
Active
Other names
MILLE LACS HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GREG STEFFENSON (PHARMACIST)
(320) 532-2490
Entity
Organization
Contact information
Practice address
200 ELM ST N, ONAMIA, MN 56359-7901
(320) 532-2490
(320) 532-2499
Mailing address
PO BOX A, ONAMIA, MN 56359-0807
(320) 532-2490
(320) 532-2499
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
2010470
MN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190247400
—
MN
01
—
2045656
PK
—
Enumeration date
10/25/2006
Last updated
01/18/2017
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