Organization
MILLE LACS HOSPITAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG STEFFENSON (PHRMCY DIR)
(320) 532-7926
Entity
Organization
Contact information
Practice address
200 ELM ST N, ONAMIA, MN 56359-7901
(320) 532-7926
(320) 532-3111
Mailing address
200 ELM ST N, ONAMIA, MN 56359-7901
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
2010470
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2411370
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/14/2006
Last updated
08/22/2020
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