Sanford Health Of Northern Minnesota
Pharmacy, Community/Retail Pharmacy in Blackduck, MN. Organization (NPI-2).
NPI number1982166765
StatusActive
Last updated in NPPESJan 23, 2025
Details
- NPI
- 1982166765
- Entity type
- Organization (NPI-2)
- Legal business name
- Sanford Health Of Northern Minnesota
- Organization subpart
- No
- Enumeration date
- Apr 2, 2019
- Certification date
- Jan 23, 2025
- Last updated
- Jan 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Other names
- Sanford Blackduck Pharmacy (Doing Business As)
Practice location
81 1st St NwSte A
Blackduck, MN 56630-0188
Phone 218-835-7700
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
Phone 605-328-6585
Other practice locations
81 1st St Nw Ste A
Blackduck, MN 56630-2228
Blackduck, MN 56630-2228
Phone 218-835-7700 · Fax 218-835-2030
Authorized official
Tony Lee Morrison
Vice President, Revenue Cycle
6053288380
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