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Grand Itasca Clinic And Hospital
Non-Pharmacy Dispensing Site in Grand Rapids, Minnesota
NPI 1023326980

Grand Itasca Clinic And Hospital is a Non-Pharmacy Dispensing Site based in Eden Prairie, MN. Grand Itasca Clinic And Hospital practices in Grand Rapids, MN. The NPI Number for Grand Itasca Clinic And Hospital is 1023326980 and holds a License No. (Minnesota).

The current practice location address for Grand Itasca Clinic And Hospital is 1601 Golf Course Rd, Grand Rapids, MN and can be reached out via phone at 218-326-7503.

Location: 1601 Golf Course Rd, Grand Rapids, MN, 55344-3248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023326980
Provider Name
Grand Itasca Clinic And Hospital
Credential
Provider Entity Type
Organization
Address
1601 Golf Course Rd, Grand Rapids, MN, 55344-3248
Phone Number
218-326-7503
Fax Number
Provider Enumeration Date
09/14/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1601 Golf Course Rd
City
Grand Rapids
State
Minnesota
Zip
55744-8648
Phone Number
218-326-7503
Fax Number
person
Provider Business Mailing Address Details
Address
1601 Golf Course Rd
City
Grand Rapids
State
Minnesota
Zip
55744-8648
Phone Number
218-326-7503
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
()
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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