CENTRACARE PHARMACY SERVICES LLC
1406 Sixth Avenue North
St Cloud, MN 56303
320-255-5670
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | MN | 2619279 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
400640200 | MN | MEDICAID | |
NCPDP | 2423894 | OTHER |