Organization · Type 2 NPI
Centracare Clinic - Long Prairie
Non-Pharmacy Dispensing Site · Long Prairie, MN
NPI number
1184890097
Active
Practice location
24 9th St SE
Long Prairie, MN 56347-1404
Mailing address
9276 Scranton Rd, Suite 100
San Diego, CA 92121-7701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | 36275 (MN) |
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.)
About NPI 1184890097
Centracare Clinic - Long Prairie's National Provider Identifier is 1184890097, issued on May 1, 2008. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Long Prairie, MN. The record was last updated on Dec 2, 2015.