Organization
ELY-BLOOMENSON COMMUNITY HOSPITAL
Active
Other names
ELY COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA BANKS (CEO)
(218) 356-8765
Entity
Organization
Contact information
Practice address
328 W CONAN ST, ELY, MN 55731-1145
(218) 365-8788
(218) 365-8789
Mailing address
328 W CONAN ST, ELY, MN 55731-1145
(218) 365-8788
(218) 365-8789
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
262191
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048324
PK
—
05
—
218238600
—
MN
Enumeration date
06/24/2006
Last updated
06/18/2025
Update your record
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