Healthcare Provider Details

I. General information

NPI: 1366763039
Provider Name (Legal Business Name): PHARM PROPERTIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2010
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

244 CENTRAL AVE
LONG PRAIRIE MN
56347
US

IV. Provider business mailing address

244 CENTRAL AVE
LONG PRAIRIE MN
56347
US

V. Phone/Fax

Practice location:
  • Phone: 320-732-3228
  • Fax: 320-732-7102
Mailing address:
  • Phone: 320-732-3228
  • Fax: 320-732-7102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number263538
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. KRISTIE KAY GIESLER
Title or Position: PHARMACIST
Credential: PHARM. D.
Phone: 320-732-3228