St Mary'S Innovis Health in Detroit Lakes - Community/retail Pharmacy
St Mary'S Innovis Health - NPI 1730110115
St Mary'S Innovis Health is a Community/retail Pharmacy in Detroit Lakes, Minnesota. St Mary'S Innovis Health practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for St Mary'S Innovis Health is 1730110115. The last update date is 2023-10-20.
St Mary'S Innovis Health's current location address is 211 Frazee Street East, Detroit Lakes, Minnesota. You can contact this provider via phone number 2188473537 and fax number 2188474405. The mailing address for St Mary'S Innovis Health is 211 Frazee Street East, Detroit Lakes, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Mary'S Innovis Health |
|---|---|
| Address | 211 Frazee Street East, Detroit Lakes, Minnesota |
| Phone Number | 2188473537 |
| Fax Number | 2188474405 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COO |
|---|---|
| Authorized Official Name | Hurley Alan |
| Telephone Number | 7013647667 |
NPI Number Detail
| NPI Number | 1730110115 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2023-10-20 |
Provider Mailing Address Detail
| Address | 211 Frazee Street East |
|---|---|
| City | Detroit Lakes |
| State | Minnesota (MN) |
| Post Code | 56501 |
| Phone Number | 2188473537 |
| Fax Number | 2188474405 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 263266 |
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Definition: 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 pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2409995 | MN | NABP NUMBER | |
| 290678000 | MN | -- |
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What is the unique identifier code issued to St Mary'S Innovis Health by the Centers for Medicare & Medicaid Services?
The St Mary'S Innovis Health has been assigned the NPI (National Provider Identifier) 1730110115. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of St Mary'S Innovis Health?
The St Mary'S Innovis Health is situated at 211 Frazee Street East, in the city of Detroit Lakes, state of MN, with the zip code 56501.
What is St Mary'S Innovis Health's area of expertise and its corresponding taxonomy classification?
The St Mary'S Innovis Health's field of specialization is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their areas of practice.
When was the St Mary'S Innovis Health's 1730110115 issued?
The St Mary'S Innovis Health's 1730110115 was issued on 2006-07-05.
When was the St Mary'S Innovis Health's information last updated?
The St Mary'S Innovis Health's information was last updated on 2023-10-20.