Organization · Type 2 NPI

Brainerd Medical Center Inc.

Clinic Pharmacy · Staples, MN

NPI number 1972350486 Active

Practice location

301 2nd Ave NW Ste 1010
Staples, MN 56479-3336

Call (218) 894-7850 Map

Fax (218) 894-7859

Mailing address

PO Box 34
Staples, MN 56479-0034

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy Primary	3336C0002X	None listed

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

NPI record

NPI: 1972350486
Entity type: Organization (Type 2)
Issued: May 2, 2024
Last updated: Jul 3, 2024
Status: Active
Subpart: Yes of Essentia Health

Other names

<unavail>
Essentia Health Staples Pharmacy · doing business as
Essentia Health Staples Pharmacy · doing business as

Authorized official

Kevin Boren
VP of Finance
(218) 786-1009

Verify this record

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 1972350486

Brainerd Medical Center Inc.'s National Provider Identifier is 1972350486, issued on May 2, 2024. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Staples, MN. The record was last updated on Jul 3, 2024.