Cederstrom Pharmacy

LBN: Cederstrom Pharmacy Inc
Cederstrom Pharmacy is an health care organization with primary practice located at 1004 1St St S , Willmar MN 56201-3510. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Cederstrom Pharmacy Inc can be contacted via phone (320) 235-7803, or through Cedertrom, Steven via phone (320) 235-7803.

Contact Information

Primary practice address
1004 1St St S Willmar MN 56201-3510
Phone: (320) 235-7803
Fax: (320) 235-7807
Website:
Map and Directions
Authorized official contact:
Name: Cedertrom, Steven
Phone: (320) 235-7803

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 260950 Minnesota

Profile Details

NPI number 1578635363
LBN Legal business name Cederstrom Pharmacy Inc
DBA Doing business as Cederstrom Pharmacy
Authorized official Cedertrom, Steven
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Jun 27th, 2008 - about 17 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 1578635363 NPPES
Minnesota MEDICAID 972860100
Minnesota Other 2418312

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