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Watertown Pharmacy Llc
Long Term Care Pharmacy in Watertown, Minnesota
NPI 1467932905

Watertown Pharmacy Llc is a Long Term Care Pharmacy based in Watertown, MN and is specialized in Long Term Care Pharmacy. Watertown Pharmacy Llc practices in Watertown, MN. The NPI Number for Watertown Pharmacy Llc is 1467932905 and holds a License No. 261954 (Minnesota).

The current practice location address for Watertown Pharmacy Llc is 204 Lewis Ave S Ste 101, Watertown, MN and can be reached out via phone at 952-955-2153 and via fax at 952-955-3067.

Location: 204 Lewis Ave S Ste 101, Watertown, MN, 55388-4501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467932905
Provider Name
Watertown Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
204 Lewis Ave S Ste 101, Watertown, MN, 55388-4501
Phone Number
952-955-2153
Fax Number
952-955-3067
Provider Enumeration Date
08/15/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1720013279 05 MN
3929710001 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
204 Lewis Ave S Ste 101
City
Watertown
State
Minnesota
Zip
55388-4501
Phone Number
952-955-2153
Fax Number
952-955-3067
person
Provider Business Mailing Address Details
Address
204 Lewis Ave S Ste 101
City
Watertown
State
Minnesota
Zip
55388-4501
Phone Number
952-955-2153
Fax Number
952-955-3067
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
261954 (Minnesota)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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