<Unavail>

LBN: Centracare Pharmacy Services Llc
<Unavail> is an health care organization with primary practice located at 1555 Northway Dr Ste 150 , Saint Cloud MN 56303-4912. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Centracare Pharmacy Services Llc can be contacted via phone (320) 240-3160, or through Karsky, Keith via phone (320) 251-2700.

Contact Information

Primary practice address
1555 Northway Dr Ste 150 Saint Cloud MN 56303-4912
Phone: (320) 240-3160
Fax: (320) 255-5876
Website:
Map and Directions
Authorized official contact:
Name: Karsky, Keith RPH
Phone: (320) 251-2700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 261081 Minnesota

Profile Details

NPI number 1386600641
LBN Legal business name Centracare Pharmacy Services Llc
DBA Doing business as <Unavail>
Authorized official Karsky, Keith RPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 5th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386600641 NPPES
Other 2047034 PK
MEDICAID 649822100 PK

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