| NPI | 1568789121 |
|---|---|
| Doing Business As | SANFORD PHARMACY DETROIT LAKES |
| Entity Type | Organization |
| Authorized Contact | TONY LEE MORRISON Vice President, Revenue Cycle 605-328-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 263507) |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2023-12-12 |