Country Manor Campus LLC

NPI #1497929558 in Sartell, Minnesota

Provider Information

NPI Number
1497929558
Entity Type
Organization
Organization Name
Country Manor Campus LLC
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
Apr 18, 2008
Last Updated
Jun 30, 2021

Practice Location

Address
520 1ST ST NE
Address 2
SUITE A
ZIP Code
56377-1274
Phone
(320) 255-0801

Authorized Official

Name
JOSHUA LEMM
Title
PHARMACIST IN CHARGE
Phone
(320) 255-0801

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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