Country Store And Pharmacy

LBN: Country Manor Campus Llc
Country Store And Pharmacy is an health care organization with primary practice located at 520, 1St. St. Ne , Sartell MN 56377-1274. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Country Manor Campus Llc can be contacted via phone (320) 255-0801, or through Harguth, Kevin via phone (320) 258-8983.

Contact Information

Primary practice address
520, 1St. St. Ne Sartell MN 56377-1274
Phone: (320) 255-0801
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harguth, Kevin
Phone: (320) 258-8983

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1871767939
LBN Legal business name Country Manor Campus Llc
DBA Doing business as Country Store And Pharmacy
Authorized official Harguth, Kevin
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 18th, 2008
Last updated Jun 30th, 2021 - about 3 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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