Elk River Pharmacy

LBN: Elk River Pharmacy
Elk River Pharmacy is an health care organization with primary practice located at 323 Jackson Ave Nw , Elk River MN 55330. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Elk River Pharmacy can be contacted via phone (763) 441-1353, or through Leedahl, Deborah via phone (763) 441-1353.

Contact Information

Primary practice address
323 Jackson Ave Nw Elk River MN 55330
Phone: (763) 441-1353
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Leedahl, Deborah PHARMD
Phone: (763) 441-1353

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 261701 Minnesota
Suppliers / Community/Retail Pharmacy 3336C0003X 265251 Minnesota

Profile Details

NPI number 1013915040
LBN Legal business name Elk River Pharmacy
DBA Doing business as
Authorized official Leedahl, Deborah PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2005
Last updated Dec 20th, 2017 - about 7 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 1013915040 NPPES
Other 2043890 PK

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