East Ottertail Pharmacy
NPI #1558473546 in Perham, Minnesota
Provider Information
- NPI Number
- 1558473546
- Entity Type
- Organization
- Organization Name
- East Ottertail Pharmacy
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Feb 10, 2016
Practice Location
Authorized Official
- Name
- DUANE WALLACE
- Title
- PHARMACY DIRECTOR
- Phone
- (218) 347-1571
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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