Sanford Pharmacy 1611 Anne St 340B

LBN: Sanford Health Of Northern Minnesota
Sanford Pharmacy 1611 Anne St 340B is an health care organization with primary practice located at 1611 Anne St Nw , Bemidji MN 56601-5114. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Sanford Health Of Northern Minnesota can be contacted via phone (218) 333-2450, or through Morrison, Tony Lee via phone (605) 328-8380.

Contact Information

Primary practice address
1611 Anne St Nw Bemidji MN 56601-5114
Phone: (218) 333-2450
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Morrison, Tony Lee
Phone: (605) 328-8380

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1477042372
LBN Legal business name Sanford Health Of Northern Minnesota
DBA Doing business as Sanford Pharmacy 1611 Anne St 340B
Authorized official Morrison, Tony Lee
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2018
Last updated Apr 16th, 2024 - about last year

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 1477042372 NPPES
Other 2430154 NCPDP

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