OrganizationActive
Grand Itasca Clinic and Hospital
NPI 1023326980 · Non-Pharmacy Dispensing Site · Grand Rapids, MN
Provider details
- NPI number
- 1023326980
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Grand Itasca Clinic and Hospital
- Organization subpart
- Yes
- Authorized official
- Melissa Walters, Director of Pharmacy(952) 653-2565
Specialties & taxonomies
Suppliers
Practice location
1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone: (218) 326-7503
Approximate (ZIP-level) locationGet directions
Mailing address
6501 City West Pkwy
Eden Prairie, MN 55344-3248
Registry dates
- Enumerated
- 2010-09-14
- Last updated
- 2010-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.