Country Store And Pharmacy

LBN: The Foundation For Health Care Continuums
Country Store And Pharmacy is an health care organization with primary practice located at 520 1St St Ne , Sartell MN 56377-1274. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. The Foundation For Health Care Continuums can be contacted via phone (320) 255-0801, or through Kelm, Brian C via phone (320) 253-1920.

Contact Information

Primary practice address
520 1St St Ne Sartell MN 56377-1274
Phone: (320) 255-0801
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kelm, Brian C
Phone: (320) 253-1920

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 261738-1 Minnesota

Profile Details

NPI number 1265450670
LBN Legal business name The Foundation For Health Care Continuums
DBA Doing business as Country Store And Pharmacy
Authorized official Kelm, Brian C
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated Mar 18th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265450670 NPPES
Minnesota MEDICAID 682650400

Popular Providers