Essentia Health Detroit Lakes Pharmacy
LBN: St Mary'S Innovis Health
Essentia Health Detroit Lakes Pharmacy is an health care organization with primary practice located at 211 Frazee Street East , Detroit Lakes MN 56501. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
St Mary'S Innovis Health can be contacted via phone (218) 847-3537, or through Hurley, Alan via phone (701) 364-7667.
Contact Information
Primary practice address
211 Frazee Street East
Detroit Lakes MN 56501
Phone: (218) 847-3537
Fax: (218) 847-4405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 263266 | Minnesota |
| Suppliers / Clinic Pharmacy | 3336C0002X | 263266 | Minnesota |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 263266 | Minnesota |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1730110115 |
|---|---|
| LBN Legal business name | St Mary'S Innovis Health |
| DBA Doing business as | Essentia Health Detroit Lakes Pharmacy |
| Authorized official | Hurley, Alan |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Jul 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730110115 | NPPES |
| Minnesota | Other | 2409995 | NABP NUMBER |
| Minnesota | MEDICAID | 290678000 | NABP NUMBER |
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