CENTRACARE PHARMACY SERVICES LLC
1900 Centracare Circle Suite 1350
St Cloud, MN 56303
320-229-4904
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | MN | 2620682 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
05092Y800 | MN | MEDICAID | |
NCPDP | 2424543 | OTHER |