Cook Hospital Pharmacy

LBN: Cook Hospital Pharmacy
Cook Hospital Pharmacy is an health care organization with primary practice located at 10 5Th St Se , Cook MN 55723-9702. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Cook Hospital Pharmacy can be contacted via phone (218) 666-6229, or through Ljosenvoor, Marie via phone (218) 666-6229.

Contact Information

Primary practice address
10 5Th St Se Cook MN 55723-9702
Fax: (218) 666-6249
Website:
Authorized official contact:
Name: Ljosenvoor, Marie PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 260751-1 Minnesota
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1093850844
LBN Legal business name Cook Hospital Pharmacy
DBA Doing business as
Authorized official Ljosenvoor, Marie PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 20th, 2007
Last updated Feb 27th, 2019 - about 5 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 1093850844 NPPES
Minnesota MEDICAID 752547800
Minnesota Other 2418716

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