Organization · Type 2 NPI

Sanford Health of Northern Minnesota

Community/Retail Pharmacy · Blackduck, MN

NPI number 1073166674 Active

Practice location

81 1st St NW, Ste A
Blackduck, MN 56630-0188

Call (218) 835-7700 Map

Fax (218) 835-2030

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

4 other providers at this address

Other community/retail pharmacy providers in Blackduck

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NPI record

NPI: 1073166674
Entity type: Organization (Type 2)
Issued: Jul 23, 2019
Last updated: Nov 27, 2023
Status: Active
Subpart: Yes of Sanford Health of Northern Minnesota

Other names

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Sanford Blackduck Pharmacy · doing business as
Sanford Blackduck Pharmacy · doing business as

Authorized official

Joann Lynn Kunkel
CFO
(605) 312-6549

Verify this record

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 1073166674

Sanford Health of Northern Minnesota's National Provider Identifier is 1073166674, issued on Jul 23, 2019. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Blackduck, MN. The record was last updated on Nov 27, 2023.