Organization
MILLE LACS HEALTH SYSTEM
Active
Other names
MLHS Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ROYCE NELSON (CEO)
(320) 532-2580
Entity
Organization
Contact information
Practice address
200 ELM ST N, ONAMIA, MN 56359-7901
(320) 532-2492
(320) 532-2499
Mailing address
200 ELM ST N, ONAMIA, MN 56359-7901
(320) 532-2492
(320) 532-2499
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
266492
MINNESOTA BOARD OF PHARMACY
MN
Enumeration date
03/09/2022
Last updated
03/13/2024
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