Greenbush Pharmacy

LBN: Mattson Pharmacy, Inc
Greenbush Pharmacy is an health care organization with primary practice located at 152 Main St N , Greenbush MN 56726-4015. 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) 782-2366, or through Desrosier, Linda via phone (218) 463-2465.

Contact Information

Primary practice address
152 Main St N Greenbush MN 56726-4015
Phone: (218) 782-2366
Fax: (218) 782-2365
Website:
Map and Directions
Authorized official contact:
Name: Desrosier, Linda
Phone: (218) 463-2465

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 260108 Minnesota
Suppliers / Community/Retail Pharmacy 3336C0003X 260108 Minnesota
Suppliers / Compounding Pharmacy 3336C0004X 260108 Minnesota
Suppliers / Long Term Care Pharmacy 3336L0003X 260108

Profile Details

NPI number 1386787729
LBN Legal business name Mattson Pharmacy, Inc
DBA Doing business as Greenbush Pharmacy
Authorized official Desrosier, Linda
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 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 1386787729 NPPES
Minnesota Other 2409604 NCPDP NUMBER
Minnesota Other 2601083 NCPDP NUMBER
Minnesota MEDICAID 338257500 NCPDP NUMBER
Minnesota Other 6319469 NCPDP NUMBER

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