NPI
Brainerd Medical Center Inc
Doing business as Essentia Health Pequot Lakes Pharmacy. Phone (218) 568-5884 · Fax (218) 568-8473 · NPI 1578034575
Read from the NPPES registry on October 24, 2026.
Essentia Health Pequot Lakes Pharmacy pharmacy profile: phone, fax, pharmacy type, and nearby pharmacies.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2018-12-17
- Last updated
- 2024-02-26
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 30581 Patriot Ave Ste A
- City
- Pequot Lakes MN
- Postal code
- 56472-4112
- Phone
- (218) 568-5884
- Fax
- (218) 568-8473
Organization contact
- Name
- Kevin Boren
- Title
- VP of Finance
- Phone
- (218) 786-1009
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Pequot Lakes, MN. 48 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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