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BARONS PHARMACY LLC

Managed Care Organization Pharmacy

Hibbing, Minnesota

Provider NPI: 1144317330

Organization Information:
Organization Name:  BARONS PHARMACY LLC


Practice Location:
1120 E 34TH ST  HIBBING, MN 55746 US
Tel: 218-263-7455  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0002XSuppliers
Pharmacy
Clinic Pharmacy
N3336L0003XSuppliers
Pharmacy
N3336M0002XSuppliers
Pharmacy
N3336M0003XSuppliers
Pharmacy
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
MN262177

Other Provider Identifiers:

IssuerNumberStateType
PK204830901
359385100MN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MANAGED CARE JOBS MN - Page 1



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