Sanford Pharmacy Detroit Lakes

LBN: Sanford Medical Center Fargo
Sanford Pharmacy Detroit Lakes is an health care organization with primary practice located at 1245 Washington Ave , Detroit Lakes MN 56501-3905. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Sanford Medical Center Fargo can be contacted via phone (218) 846-2276, or through Morrison, Tony Lee via phone (605) 328-8380.

Contact Information

Primary practice address
1245 Washington Ave Detroit Lakes MN 56501-3905
Phone: (218) 846-2276
Fax: (701) 234-7476
Website:
Map and Directions
Authorized official contact:
Name: Morrison, Tony Lee
Phone: (605) 328-8380

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 263507 Minnesota

Profile Details

NPI number 1568789121
LBN Legal business name Sanford Medical Center Fargo
DBA Doing business as Sanford Pharmacy Detroit Lakes
Authorized official Morrison, Tony Lee
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2010
Last updated Dec 12th, 2023 - 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 1568789121 NPPES
Other 2124937 PK

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