| NPI | 1669961561 |
|---|---|
| Other Name | SANFORD PHARMACY BEMIDJI 340B |
| Entity Type | Organization |
| Authorized Contact | CAROLYN TUTTLE Vice President, Revenue Cycle 605-328-8384 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |