Centracare Pharmacy Northway
LBN: Centracare Pharmacy Services Llc
Centracare Pharmacy Northway is an health care organization with primary practice located at 1555 Northway Dr Ste 150 , Saint Cloud MN 56303-4912. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Centracare Pharmacy Services Llc can be contacted via phone (320) 240-3160, or through Karsky, Keith via phone (320) 251-2700.
Contact Information
Primary practice address
1555 Northway Dr Ste 150
Saint Cloud MN 56303-4912
Phone: (320) 240-3160
Fax: (320) 255-5876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 261081 | Minnesota |
Profile Details
| NPI number | 1386600641 |
|---|---|
| LBN Legal business name | Centracare Pharmacy Services Llc |
| DBA Doing business as | Centracare Pharmacy Northway |
| Authorized official | Karsky, Keith RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Jul 5th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386600641 | NPPES |
| Other | 2047034 | PK | |
| MEDICAID | 649822100 | PK |
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