Healthcare Provider Details

I. General information

NPI: 1467497669
Provider Name (Legal Business Name): MORREIM PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W MAIN ST
ARLINGTON MN
55307-9700
US

IV. Provider business mailing address

201 W MAIN ST
ARLINGTON MN
55307-9700
US

V. Phone/Fax

Practice location:
  • Phone: 507-964-5228
  • Fax: 507-964-5918
Mailing address:
  • Phone: 507-964-5228
  • Fax: 507-964-5918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number201220
License Number StateMN

VIII. Authorized Official

Name: LESLIE MORREIM
Title or Position: OWNER
Credential: RPH
Phone: 507-964-5228