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Organization

SANFORD CLINIC NORTH

Active
Parent organization
SANFORD CLINIC NORTH
Other names
Sanford Pharmacy Moorhead 340B
Organization subpart
Yes

Provider details

NPI number
Legal business name
SANFORD CLINIC NORTH
Authorized official
TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE)
(605) 328-8380
Entity
Organization

Contact information

Practice address
4000 28TH S AVE, MOORHEAD, MN 56560-7926
(701) 234-3250
(701) 234-7476
Mailing address
4000 28TH AVE S, MOORHEAD, MN 56560-7926
(701) 234-2121
(701) 234-7476

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
11/17/2020
Last updated
11/17/2020
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