Centracare Pharmacy At St Cloud Hospital

LBN: St. Cloud Hospital
Centracare Pharmacy At St Cloud Hospital is an health care organization with primary practice located at 1406 Sixth Avenue North , St Cloud MN 56303. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. St. Cloud Hospital can be contacted via phone (320) 255-5670, or through Kunkel, Matthew P. via phone (320) 251-2710.

Contact Information

Primary practice address
1406 Sixth Avenue North St Cloud MN 56303
Phone: (320) 255-5670
Fax: (320) 255-5793
Website:
Map and Directions
Authorized official contact:
Name: Kunkel, Matthew P.
Phone: (320) 251-2710

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 2619279 Minnesota

Profile Details

NPI number 1093771818
LBN Legal business name St. Cloud Hospital
DBA Doing business as Centracare Pharmacy At St Cloud Hospital
Authorized official Kunkel, Matthew P.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2006
Last updated Apr 20th, 2022 - 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 1093771818 NPPES
Other 2423894 NCPDP
MEDICAID 400640200 NCPDP

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