Perham Hospital District

NPI #1528485877 in Perham, Minnesota

Provider Information

NPI Number: 1528485877
Entity Type: Organization
Organization Name: Perham Hospital District
Subpart: Yes (part of a larger organization)
Parent Organization: PERHAM HOSPITAL DISTRICT
Primary Specialty: Non-Pharmacy Dispensing Site
Enumeration Date: Mar 25, 2014
Last Updated: Mar 25, 2014

Practice Location

Address: 1000 CONEY ST W
City: Perham
State: Minnesota
ZIP Code: 56573-2102
Phone: (218) 347-1571

Authorized Official

Name: DUANE WALLACE, RPH
Title: DIRECTOR OF PHARMACY
Phone: (218) 347-1571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Non-Pharmacy Dispensing Site	332900000X	Primary

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