Organization · Type 2 NPI
Minnesota State Colleges
Clinic Pharmacy · St. Cloud, MN
NPI number
1073581302
Active
Practice location
251 6th St S
St. Cloud, MN 56301-4491
Fax (320) 308-4878
Mailing address
720 4th Ave S
St. Cloud, MN 56301-4442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | None listed |
| Clinic Pharmacy Primary | 3336C0002X | 200814 (MN) |
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.
About NPI 1073581302
Minnesota State Colleges's National Provider Identifier is 1073581302, issued on Mar 11, 2006. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in St. Cloud, MN. The record was last updated on Oct 11, 2016.