Longbella Drug By Lakewood Health System - Staples Clinic
LBN: Lakewood Health System
Longbella Drug By Lakewood Health System - Staples Clinic is an health care organization with primary practice located at 49725 County 83 Ste 100 , Staples MN 56479-5280. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Lakewood Health System can be contacted via phone (218) 894-8761, or through Reycraft, Joseph via phone (218) 894-8194.
Contact Information
Primary practice address
49725 County 83 Ste 100
Staples MN 56479-5280
Phone: (218) 894-8761
Fax: (218) 894-8762
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1508630112 |
|---|---|
| LBN Legal business name | Lakewood Health System |
| DBA Doing business as | Longbella Drug By Lakewood Health System - Staples Clinic |
| Authorized official | Reycraft, Joseph |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 14th, 2023 |
| Last updated | Nov 14th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508630112 | NPPES |
| Minnesota | Other | 266847 | STATE LICENSE |
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