Longbella Drug By Lakewood Health System - Plaza

LBN: Lakewood Health System
Longbella Drug By Lakewood Health System - Plaza is an health care organization with primary practice located at 1210 Us Highway 10 E Suite 1, Staples MN 56479. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Lakewood Health System can be contacted via phone (218) 894-2242, or through Reycraft, Joseph via phone (218) 894-8194.

Contact Information

Primary practice address
1210 Us Highway 10 E Suite 1 Staples MN 56479
Phone: (218) 894-2242
Fax: (218) 894-2013
Website:
Map and Directions
Authorized official contact:
Name: Reycraft, Joseph
Phone: (218) 894-8194

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1679347348
LBN Legal business name Lakewood Health System
DBA Doing business as Longbella Drug By Lakewood Health System - Plaza
Authorized official Reycraft, Joseph
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 13th, 2023
Last updated Nov 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679347348 NPPES
Minnesota Other 266844 STATE PHARMACY LICENSE

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