Family Health Systems of Moose Lake Inc
Organization Active NPI Clinic Pharmacy · Sandstone, MN
NPI 1073544151 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1073544151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic Pharmacy 3336C0002X
- Legal business name
- FAMILY HEALTH SYSTEMS OF MOOSE LAKE INC
- Practice address
- 204 Lundorff Dr
Sandstone, MN 55072-5051 - Phone
- (320) 245-5500
- Fax
- (320) 245-5123
- NPI assigned
- Jul 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Bill Storck
- Title
- Coo
- Phone
- (218) 485-5671
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Family Health Systems of Moose Lake Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | Yes | ||
| Community/Retail Pharmacy | 3336C0003X | 2614902 | MN |
Addresses
Primary practice location
204 Lundorff Dr
Sandstone, MN 55072-5051
Mailing address
710 S Kenwood Ave
Moose Lake, MN 55767
Phone (218) 485-5671
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2718900 | Medicaid | MN |
Other names
- Family Pharmacy Sandstone
Other providers in Sandstone, MN
- Bridget M. Dewey
- Reta Joyce Diedrich
- Angela Lea Domagala
- Lori J Dougherty
- Gary Vince Drewa
- Jessica Lynne Fehlen
- Kimberly June Fletcher
- Foster Transportation Services LLC
- James Richard Franzel
- Peggy Ann Frisch
All providers in Sandstone, MN · Clinic Pharmacy in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.