Healthcare Provider Details

I. General information

NPI: 1265278006
Provider Name (Legal Business Name): CARA BETH HELGESON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2024
Last Update Date: 07/02/2024
Certification Date: 07/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 NORTHWAY DR STE 200
SAINT CLOUD MN
56303-4913
US

IV. Provider business mailing address

787 GULL BLUFF DR
BRAINERD MN
56401-3386
US

V. Phone/Fax

Practice location:
  • Phone: 320-240-3157
  • Fax:
Mailing address:
  • Phone: 218-821-0517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number126506
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: