Minnesota State Colleges
NPI #1073581302 in Saint Cloud, Minnesota
Provider Information
- NPI Number
- 1073581302
- Entity Type
- Organization
- Organization Name
- Minnesota State Colleges
- Primary Specialty
- Pharmacy - Clinic Pharmacy
- Enumeration Date
- Mar 11, 2006
- Last Updated
- Oct 11, 2016
Practice Location
- Address
- 251 6TH ST S
- City
- Saint Cloud
- State
- Minnesota
- ZIP Code
- 56301-4491
- Phone
- (320) 308-4852
Authorized Official
- Name
- LYNN LEAF, BS
- Title
- PHARMACIST IN CHARGE
- Phone
- (320) 308-4852
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Clinic Pharmacy — Clinic Pharmacy |
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