Organization · Type 2 NPI

ST Mary's Innovis Health

Community/Retail Pharmacy · Detroit Lakes, MN

NPI number 1730110115 Active

Practice location

211 Frazee Street East
Detroit Lakes, MN 56501

Fax (218) 847-4405

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	263266 (MN)
Clinic Pharmacy	3336C0002X	263266 (MN)
Community/Retail Pharmacy Primary	3336C0003X	263266 (MN)
Long Term Care Pharmacy	3336L0003X	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 …

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NPI record

NPI: 1730110115
Entity type: Organization (Type 2)
Issued: Jul 5, 2006
Last updated: Jul 3, 2024
Status: Active
Subpart: Yes of Essentia Health

Other names

<unavail>
Essentia Health Detroit Lakes Pharmacy · doing business as
Essentia Health Detroit Lakes Pharmacy · doing business as

Authorized official

Mr. Alan Hurley
COO
(701) 364-7667

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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 1730110115

ST Mary's Innovis Health's National Provider Identifier is 1730110115, issued on Jul 5, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Detroit Lakes, MN. The record was last updated on Jul 3, 2024.