Lake Crystal Pharmacy

LBN: Madelia Health
Lake Crystal Pharmacy is an health care organization with primary practice located at 210 S Main St , Lake Crystal MN 56055-2117. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Madelia Health can be contacted via phone (507) 642-3255, or through Tetzloff, Prudence via phone (507) 642-3255.

Contact Information

Primary practice address
210 S Main St Lake Crystal MN 56055-2117
Phone: (507) 642-3255
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tetzloff, Prudence
Phone: (507) 642-3255

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1730715871
LBN Legal business name Madelia Health
DBA Doing business as Lake Crystal Pharmacy
Authorized official Tetzloff, Prudence
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 20th, 2020
Last updated Apr 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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