CENTRACARE PHARMACY SERVICES LLC
1555 Northway Dr Ste 150
Saint Cloud, MN 56303
320-240-3160
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | MN | 261081 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2047034 | OTHER | |
649822100 | MN | MEDICAID |