| NPI | 1457692717 |
|---|---|
| Doing Business As | CENTRACARE HEALTH - MONTICELLO PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL A. BLAIR Sr. Vice President And CFO 320-255-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2019-10-10 |