| NPI | 1730110115 |
|---|---|
| Doing Business As | ESSENTIA HEALTH DETROIT LAKES PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALAN HURLEY COO 701-364-7667 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 263266) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 263266) |
| 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MN 263266) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2024-07-03 |