Elise Nicole Durgin, PHARMD, BCPS
Individual provider Active NPI Pharmacist · Crosby, MN
NPI 1902390008 · NPPES record last updated Dec 15, 2021
Key facts
- NPI
- 1902390008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 123773 (MN)
- Practice address
- 320 E Main St
Crosby, MN 56441-1645 - Phone
- (218) 546-7000
- NPI assigned
- Jun 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123773 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cuyuna Regional Medical Center | Current | Accepting new patients |
Locations
320 E Main St
Crosby, MN 56441
Phone (218) 546-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 123773 | MN | Yes |
Addresses
Primary practice location
320 E Main St
Crosby, MN 56441-1645
Mailing address
320 E Main St
Cuyuna Lakes Pharmacy
Crosby, MN 56441
Phone (218) 546-2345
Other names
- Elise Nicole Mead
Other providers in Crosby, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2021. 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.