Organization · Type 2 NPI

Grand Itasca Clinic and Hospital

Institutional Pharmacy · Grand Rapids, MN

NPI number 1902379159 Active

Practice location

1601 Golf Course Rd
Grand Rapids, MN 55744-8648

Fax (218) 999-1887

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Institutional Pharmacy Primary	3336I0012X	None listed

Institutional Pharmacy: A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services…

114 other providers at this address

NPI record

NPI: 1902379159
Entity type: Organization (Type 2)
Issued: Jan 9, 2019
Last updated: Oct 23, 2026
Status: Active
Subpart: Yes of Grand Itasca Clinic & Hospital

Other names

Grand Itasca Clinic & Hospital Pharmacy · doing business as

Authorized official

Jean Macdonell
VP, Clinic Services
(218) 999-1510

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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 1902379159

Grand Itasca Clinic and Hospital's National Provider Identifier is 1902379159, issued on Jan 9, 2019. The primary taxonomy on file is Institutional Pharmacy (3336I0012X), and the practice location is in Grand Rapids, MN. The record was last updated on Oct 23, 2026.