Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOUNTAIN LAKE PHARMACY LLC
Active OrganizationMOUNTAIN LAKE PHARMACY LLC is a Long-Term Care Pharmacy organization located in MOUNTAIN LAKE, Minnesota. NPI 1689655243 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · MOUNTAIN LAKE, MN
Registration Details
- NPI Number
- 1689655243
- Provider Type
- Organization
- NPI Issued
- Nov 10, 2005 (20.740830863469 yrs)
- Last Updated
- Jan 17, 2020
- License
-
260083 (MN)
Practice Information
- Address
-
1007 3RD AVEMOUNTAIN LAKE, MN, 561591587Browse MN providers · Browse ZIP 56159
- Phone
- 5074272707
- Fax
- 5074272328
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
- Additional Specialty
- Pharmacy
- Additional Specialty
- Retail Pharmacy
- Additional Specialty
- Long-Term Care Pharmacy
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.