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1003061011
PINE MEDICAL CENTER
SANDSTONE, MN
NPI
1003061011
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Entity Type
Organization
Authorized Contact
JIM KOPPEN
Director Of Pharmacy
952-653-2528
Organization Subpart ?
Yes
Primary Taxonomy
332900000X Non-Pharmacy Dispensing Site
Enumeration Date
2008-11-19
Last Update Date
2008-11-19
Business Address
PINE MEDICAL CENTER
109 COURT AVE S
SANDSTONE, MN 55072-5120
Phone number: 952-653-2528
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Mailing Address
PINE MEDICAL CENTER
6501 CITY WEST PKWY
EDEN PRAIRIE, MN 55344-3248
Phone number:
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