Whalio Doctors

NPI 1497929558

Country Manor Campus LLC

Organisation Long Term Care Pharmacy Sartell, MN

Practice location

Address
520 1st St NE Suite a, Sartell, MN 56377-1274
Phone
(320) 255-0801
Fax
(320) 230-3825

Authorised official

Name
Joshua Lemm
Title
Pharmacist in Charge
Phone
(320) 255-0801

Registered specialties (3)

Long Term Care Pharmacy Primary
Suppliers Taxonomy 3336L0003X Licence 262882 (MN)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1497929558
Entity type
Organization
NPI issued
18 Apr 2008
Record last updated
30 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.