Essentia Health Pequot Lakes Pharmacy
LBN: Brainerd Medical Center Inc
Essentia Health Pequot Lakes Pharmacy is an health care organization with primary practice located at 30581 Patriot Ave Ste A , Pequot Lakes MN 56472-4112. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty.
Brainerd Medical Center Inc can be contacted via phone (218) 568-5884, or through Boren, Kevin via phone (218) 786-1009.
Contact Information
Primary practice address
30581 Patriot Ave Ste A
Pequot Lakes MN 56472-4112
Phone: (218) 568-5884
Fax: (218) 568-8473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1578034575 |
|---|---|
| LBN Legal business name | Brainerd Medical Center Inc |
| DBA Doing business as | Essentia Health Pequot Lakes Pharmacy |
| Authorized official | Boren, Kevin |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Dec 17th, 2018 |
| Last updated | Feb 26th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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