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COUNTRY MANOR CAMPUS LLC NPI 1871767939


NPI Information

NPI: 1871767939
Provider Name: COUNTRY MANOR CAMPUS LLC

Doing Business As: COUNTRY STORE AND PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
520, 1ST. ST. NE
SARTELL, MN
ZIP 56377
Phone: (320) 255-0801
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COUNTRY MANOR CAMPUS LLC is a community/retail pharmacy pharmacy in Sartell, MN. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. COUNTRY MANOR CAMPUS LLC NPI is 1871767939. The provider is registered as an organization entity type.
The provider Is Doing Business As Country Store And Pharmacy.

The provider's business location address is:

520, 1ST. ST. NE
SARTELL, MN
ZIP 56377-274
Phone: (320) 255-0801

The provider's authorized official is Kevin Harguth .
The authorized official title is C.f.o. and has the following contact phone number (320) 258-8983.

The enumeration date for this NPI number is 4/18/2008 and was last updated on 6/30/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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