SLTN Pharmacy Services, LTD
Organization Active NPI Community/Retail Pharmacy · Edgerton, MN
NPI 1508250820 · NPPES record last updated Mar 25, 2015
Key facts
- NPI
- 1508250820
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- TBD (MN)
- Legal business name
- SLTN PHARMACY SERVICES, LTD
- Practice address
- 735 Main St
Edgerton, MN 56128 - Phone
- (507) 873-2075
- NPI assigned
- Mar 25, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- SLTN PHARMACY SERVICES, LTD
Authorized official
- Name
- Chelsey Carlson, PHARM.D.
- Title
- Owner/Vice President
- Phone
- (507) 873-2075
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141023000002 | MN | Part B Supplier - Mass Immunization (Roster Biller Only) | 1759506488 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Edgerton, MN; Fulda, MN; Slayton, MN |
| O20220906000481 | MN | DME Supplier - Pharmacy | 1759506488 | Practice locations: Edgerton, MN |
National Provider Directory
- Tax ID family
- SLTN Pharmacy Services LTD
- Part of
- SLTN Pharmacy Services LTD
Locations
735 Main St
Edgerton, MN 56128
Phone (507) 631-0080
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | TBD | MN | Yes |
Addresses
Primary practice location
735 Main St
Edgerton, MN 56128
Mailing address
2010 Juniper Ave
Slayton, MN 56172-1017
Phone (507) 873-2075
Other names
- GuidePoint Pharmacy #111
Other providers in Edgerton, MN
- Jessica Leighton
- Joni L Luchtenburg
- Pipestone Family Clinic
- Sanford Health Network
- SLTN Pharmacy Services, LTD
- Dana Ann Wieck
All providers in Edgerton, MN · Community/Retail 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 Mar 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.