Country Manor Campus LLC

NPI #1871767939 in Sartell, Minnesota

Provider Information

NPI Number
1871767939
Entity Type
Organization
Organization Name
Country Manor Campus LLC
Subpart
Yes (part of a larger organization)
Parent Organization
THE FOUNDATION FOR HEALTH CARE CONTINUUMS
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Apr 18, 2008
Last Updated
Jun 30, 2021

Practice Location

Address
520, 1ST. ST. NE
ZIP Code
56377-1274
Phone
(320) 255-0801

Authorized Official

Name
KEVIN HARGUTH
Title
C.F.O.
Phone
(320) 258-8983

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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