Organization
BLACK FOREST PHARMACY SERVICES LTD
Active
Other names
GUIDEPOINT LTC PHARMACY #201
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SCHWARTZWALD (PRESIDENT)
(218) 829-0347
Entity
Organization
Contact information
Practice address
108 S 6TH ST STE A, BRAINERD, MN 56401-3575
(218) 829-3476
(218) 829-0575
Mailing address
108 S 6TH ST STE A, BRAINERD, MN 56401-3575
(218) 829-3476
(218) 829-0575
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
263366
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2429620
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/29/2009
Last updated
04/18/2011
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