NPI 1497929558
Country Manor Campus LLC
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
Durable Medical Equipment & Medical Supplies
Pharmacy
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.