Organization · Type 2 NPI

St. Cloud Hospital

Community/Retail Pharmacy · St. Cloud, MN

NPI number 1093771818 Active

Practice location

1406 Sixth Avenue North
St. Cloud, MN 56303

Fax (320) 255-5793

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	2619279 (MN)

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 …

2 other providers at this address

Other community/retail pharmacy providers in St. Cloud

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NPI record

NPI: 1093771818
Entity type: Organization (Type 2)
Issued: Apr 21, 2006
Last updated: Apr 20, 2022
Status: Active

Other names

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Centracare Pharmacy at ST Cloud Hospital · doing business as
Centracare Pharmacy at ST Cloud Hospital · doing business as

Authorized official

Matthew P. Kunkel
Vice President
(320) 251-2710

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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 1093771818

St. Cloud Hospital's National Provider Identifier is 1093771818, issued on Apr 21, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in St. Cloud, MN. The record was last updated on Apr 20, 2022.