Trail Creek Health Center

LBN: Blairco, Inc.
Trail Creek Health Center is an health care organization with primary practice located at 120 N Augusta Ct Ste 103 , Mankato MN 56001-7720. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Blairco, Inc. can be contacted via phone (507) 345-4302, or through Blair, Brent E via phone (507) 345-4302.

Contact Information

Primary practice address
120 N Augusta Ct Ste 103 Mankato MN 56001-7720
Phone: (507) 345-4302
Fax: (507) 387-2917
Website:
Map and Directions
Authorized official contact:
Name: Blair, Brent E PHARMD
Phone: (507) 345-4302

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X 263083 Minnesota

Profile Details

NPI number 1811145436
LBN Legal business name Blairco, Inc.
DBA Doing business as Trail Creek Health Center
Authorized official Blair, Brent E PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2008
Last updated Mar 7th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811145436 NPPES
Minnesota Other 263083 MN BOARD OF PHARMACY

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