Healthcare Provider Details
I. General information
NPI: 1023107646
Provider Name (Legal Business Name): SANFORD HEALTH NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/12/2006
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
202 S KNISS AVE
LUVERNE MN
56156-1775
US
IV. Provider business mailing address
2701 S MINNESOTA AVE STE 1 SUITE 1
SIOUX FALLS SD
57105-4746
US
V. Phone/Fax
- Phone: 507-283-9549
- Fax: 507-283-9540
- Phone: 605-367-2850
- Fax: 605-367-2876
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 261602 |
| License Number State | MN |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0004X |
| Taxonomy | Compounding Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
APRIL
STEIN
Title or Position: PHARMACY OPS COORDINATOR
Credential:
Phone: 605-367-2850