Centracare Health - Paynesville LLC
NPI #1760440846 in Paynesville, Minnesota
Provider Information
- NPI Number
- 1760440846
- Entity Type
- Organization
- Organization Name
- Centracare Health - Paynesville LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- May 1, 2006
- Last Updated
- Oct 10, 2019
Practice Location
- Address
- 200 W 1ST ST
- City
- Paynesville
- State
- Minnesota
- ZIP Code
- 56362
- Phone
- (320) 243-3767
Authorized Official
- Name
- MR. MICHAEL A. BLAIR
- Title
- SR. VICE PRESIDENT AND CFO
- Phone
- (320) 255-5665
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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| Geritom Med INC | |
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