Family Pharmacy

LBN: Family Health Systems Of Moose Lake Inc
Family Pharmacy is an health care organization with primary practice located at 4570 County Hwy 61 , Moose Lake MN 55767-9419. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Family Health Systems Of Moose Lake Inc can be contacted via phone (218) 485-2111, or through Storck, Bill via phone (217) 485-5671.

Contact Information

Primary practice address
4570 County Hwy 61 Moose Lake MN 55767-9419
Fax: (218) 485-8256
Website:
Authorized official contact:
Name: Storck, Bill

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 2608565 Minnesota
Suppliers / Community/Retail Pharmacy 3336C0003X 2608565 Minnesota

Profile Details

NPI number 1407887599
LBN Legal business name Family Health Systems Of Moose Lake Inc
DBA Doing business as Family Pharmacy
Authorized official Storck, Bill
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1407887599 NPPES
Minnesota MEDICAID 28557900

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