Organization · Type 2 NPI

Centracare Clinic Southwest LLC

Non-Pharmacy Dispensing Site · New London, MN

NPI number 1982441853 Active

Practice location

600 Peterson Pkwy
New London, MN 56273-7823

Fax (320) 354-2274

Mailing address

6501 City West Pkwy
Eden Prairie, MN 55344-3248

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XNone listed

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.)

8 other providers at this address

About NPI 1982441853

Centracare Clinic Southwest LLC's National Provider Identifier is 1982441853, issued on Jul 9, 2024. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in New London, MN. The record was last updated on Jul 9, 2024.