Organization · Type 2 NPI

Centracare Health - Paynesville LLC

Long Term Care Pharmacy · Paynesville, MN

NPI number 1760440846 Active

Practice location

200 W 1st St
Paynesville, MN 56362

Fax (320) 243-7519

Specialties and licenses

Taxonomy	Code	License
Long Term Care Pharmacy Primary	3336L0003X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

33 other providers at this address

NPI record

NPI: 1760440846
Entity type: Organization (Type 2)
Issued: May 1, 2006
Last updated: Oct 10, 2019
Status: Active

Other names

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Centracare Health - Paynesville Pharmacy · doing business as
Centracare Health - Paynesville Pharmacy · doing business as

Authorized official

Mr. Michael A. Blair
Sr. Vice President and CFO
(320) 255-5665

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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 1760440846

Centracare Health - Paynesville LLC's National Provider Identifier is 1760440846, issued on May 1, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Paynesville, MN. The record was last updated on Oct 10, 2019.