| NPI | 1073581302 |
|---|---|
| Doing Business As | ST. CLOUD STATE UNIVERSITY HEALTH SERVICE |
| Entity Type | Organization |
| Authorized Contact | LYNN LEAF Pharmacist In Charge 320-308-4852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: MN 200814) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2016-10-11 |