Provider Demographics
NPI:1497296115
Name:MEDSAVE FAMILY PHARMACY
Entity Type:Organization
Organization Name:MEDSAVE FAMILY PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:CHERNUGAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-759-1222
Mailing Address - Street 1:217 PAUL BUNYAN DR NW
Mailing Address - Street 2:
Mailing Address - City:BEMIDJI
Mailing Address - State:MN
Mailing Address - Zip Code:56601-2433
Mailing Address - Country:US
Mailing Address - Phone:218-759-1222
Mailing Address - Fax:218-759-0859
Practice Address - Street 1:217 PAUL BUNYAN DR NW
Practice Address - Street 2:
Practice Address - City:BEMIDJI
Practice Address - State:MN
Practice Address - Zip Code:56601-2433
Practice Address - Country:US
Practice Address - Phone:218-759-1222
Practice Address - Fax:218-759-0859
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHERNUGAL INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-03-14
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1226703336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy