Organization · Type 2 NPI

Grand Itasca Clinic and Hospital

Non-Pharmacy Dispensing Site · Grand Rapids, MN

NPI number 1023326980 Active

Practice location

1601 Golf Course Rd
Grand Rapids, MN 55744-8648

Mailing address

6501 City West Pkwy
Eden Prairie, MN 55344-3248

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XNone listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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About NPI 1023326980

Grand Itasca Clinic and Hospital's National Provider Identifier is 1023326980, issued on Sep 14, 2010. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Grand Rapids, MN. The record was last updated on Sep 14, 2010.