Grand Itasca Clinic And Hospital

NPI 1023326980 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1023326980
Enumeration Date 09/14/2010
Last Updated 09/14/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MELISSA MELISSA
Position DIRECTOR OF PHARMACY
Phone (218) 326-7503
Fax
Practice Location
1601 GOLF COURSE RD
GRAND RAPIDS MN, 55744-8648, US
Phone (218) 326-7503
Fax
Business Location
6501 CITY WEST PKWY
EDEN PRAIRIE MN, 55344-3248, US
Phone (952) 653-2565
Fax
Toxanomy
Taxonomy Code 332900000X
License State
License Number
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According to our database, Grand Itasca Clinic And Hospital NPI is 1023326980, taxonomy code is 332900000X Grand Itasca Clinic And Hospital physically located at 1601 Golf Course Rd, Grand Rapids MN, 55744-8648. NPI Number 1033115704 has the healthcare provider type.

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1023326980 NPI number is provided on an as is basis without warranty of any kind. 1023326980 is maintained by the National Plan & Provider Enumeration System. The contents of Grand Itasca Clinic And Hospital are for informational purposes only.