Mattson Pharmacy, Inc

LBN: Mattson Pharmacy, Inc
Mattson Pharmacy, Inc is an health care organization with primary practice located at 111 Main Ave S , Roseau MN 56751-1421. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mattson Pharmacy, Inc can be contacted via phone (218) 463-2465, or through Desrosier, Linda M via phone (218) 463-2465.

Contact Information

Primary practice address
111 Main Ave S Roseau MN 56751-1421
Phone: (218) 463-2465
Fax: (218) 463-2875
Website:
Map and Directions
Authorized official contact:
Name: Desrosier, Linda M
Phone: (218) 463-2465

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0683560001 Minnesota
Suppliers / Community/Retail Pharmacy 3336C0003X 201190 Minnesota
Suppliers / Compounding Pharmacy 3336C0004X 201190 Minnesota
Suppliers / Long Term Care Pharmacy 3336L0003X 201190 Minnesota

Profile Details

NPI number 1346383908
LBN Legal business name Mattson Pharmacy, Inc
DBA Doing business as
Authorized official Desrosier, Linda M
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Mar 7th, 2023 - about 2 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 1346383908 NPPES
Minnesota MEDICAID 981858800
Minnesota Other 2011903
Minnesota Other 2407802

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