Organization · Type 2 NPI

Brainerd Medical Center Inc

Clinic Pharmacy · Brainerd, MN

NPI number 1053342329 Active · reactivated Sep 14, 2021

Practice location

2024 S 6th St
Brainerd, MN 56401-4529

Call (218) 829-7455 Map

Fax (218) 855-5205

Mailing address

204 Belknap St, Atn: Pharmacy Services
Superior, WI 54880-2905

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy Primary	3336C0002X	None listed

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

107 other providers at this address

NPI record

NPI: 1053342329
Entity type: Organization (Type 2)
Issued: Jul 5, 2006
Last updated: Feb 23, 2024
Status: Active
Subpart: Yes of Essentia Health

Other names

<unavail>
Essentia Health Brainerd Pharmacy · doing business as
Essentia Health Brainerd Pharmacy · doing business as

Authorized official

Kevin Boren
VP of Finance
(218) 786-1009

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053342329

Brainerd Medical Center Inc's National Provider Identifier is 1053342329, issued on Jul 5, 2006. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Brainerd, MN. The record was last updated on Feb 23, 2024.