Provider Information for 1124472394
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SLTN PHARMACY SERVICES, LTD
Other Names:Doing Business As:GUIDEPOINT PHARMACY #111Organization Subpart: NO
NPI: 1124472394
Last Updated: 2016-04-14
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1124472394 | ||||||||
| Enumeration Date | 2016-04-14 | ||||||||
| NPI Type | NPI-2 Organization | ||||||||
| Status | Active | ||||||||
| Authorized Official Information | Name: CHELSEY CARLSON PharmD Title: President Phone: 5078732075 | ||||||||
| Mailing Address | 2010 JUNIPER AVE SLAYTON, MN 56172-1017 United States Phone: 507-873-2075 | Fax:507-873-2076 | ||||||||
| Primary Practice Address | 735 MAIN ST EDGERTON, MN 56128-3000 United States Phone: 507-631-0080 | Fax:507-631-0089 | ||||||||
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