Organization
LAKEWOOD HEALTH SYSTEM
Active
Other names
LAKEWOOD HEALTH SYSTEMS HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN HINMAN RPH PHARMD (PHARMACIST IN CHARGE)
(218) 894-8454
Entity
Organization
Contact information
Practice address
49725 COUNTY ROAD 83, STAPLES, MN 56479
(218) 894-8454
(218) 894-8451
Mailing address
49725 COUNTY ROAD 83, STAPLES, MN 56479
(218) 894-8454
(218) 894-8451
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
200748
MN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114247000
—
MN
01
—
2045707
PK
—
Enumeration date
06/10/2006
Last updated
06/09/2025
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