Superior Health Pharmacy

LBN: Firstsolutions
Superior Health Pharmacy is an health care organization with primary practice located at 1010 4Th St , Two Harbors MN 55616-1200. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Firstsolutions can be contacted via phone (218) 834-7202, or through Mastaw, Sandra via phone (218) 740-2785.

Contact Information

Primary practice address
1010 4Th St Two Harbors MN 55616-1200
Phone: (218) 834-7202
Fax: (218) 834-9531
Website:
Map and Directions
Authorized official contact:
Name: Mastaw, Sandra MT BA, ICP
Phone: (218) 740-2785

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 204933 Minnesota
Suppliers / Managed Care Organization Pharmacy 3336M0003X

Profile Details

NPI number 1780600759
LBN Legal business name Firstsolutions
DBA Doing business as Superior Health Pharmacy
Authorized official Mastaw, Sandra MT BA, ICP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2006
Last updated Jan 12th, 2011 - about 13 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 1780600759 NPPES
Other 2412966 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 613226000 NCPDP PROVIDER IDENTIFICATION NUMBER

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