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St Mary's Innovis Health
Long Term Care Pharmacy in Detroit Lakes, Minnesota
NPI 1730110115

St Mary's Innovis Health is a Long Term Care Pharmacy based in Detroit Lakes, MN and is specialized in Long Term Care Pharmacy. St Mary's Innovis Health practices in Detroit Lakes, MN. The NPI Number for St Mary's Innovis Health is 1730110115 and holds a License No. 263266 (Minnesota).

The current practice location address for St Mary's Innovis Health is 211 Frazee Street East, Detroit Lakes, MN and can be reached out via phone at 218-847-3537 and via fax at 218-847-4405.

Location: 211 Frazee Street East, Detroit Lakes, MN, 56501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730110115
Provider Name
St Mary's Innovis Health
Credential
Provider Entity Type
Organization
Address
211 Frazee Street East, Detroit Lakes, MN, 56501
Phone Number
218-847-3537
Fax Number
218-847-4405
Provider Enumeration Date
07/05/2006
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2409995 01 MN NABP NUMBER
290678000 05 MN
institution
Provider Business Practice Location Address Details
Address
211 Frazee Street East
City
Detroit Lakes
State
Minnesota
Zip
56501
Phone Number
218-847-3537
Fax Number
218-847-4405
person
Provider Business Mailing Address Details
Address
211 Frazee Street East
City
Detroit Lakes
State
Minnesota
Zip
56501
Phone Number
218-847-3537
Fax Number
218-847-4405
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
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Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
263266 (Minnesota)
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
263266 (Minnesota)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
263266 (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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