Provider Demographics
NPI:1508250820
Name:SLTN PHARMACY SERVICES, LTD
Entity Type:Organization
Organization Name:SLTN PHARMACY SERVICES, LTD
Other - Org Name:GUIDEPOINT PHARMACY #111
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:507-873-2075
Mailing Address - Street 1:2010 JUNIPER AVE
Mailing Address - Street 2:
Mailing Address - City:SLAYTON
Mailing Address - State:MN
Mailing Address - Zip Code:56172-1017
Mailing Address - Country:US
Mailing Address - Phone:507-873-2075
Mailing Address - Fax:
Practice Address - Street 1:735 MAIN ST
Practice Address - Street 2:
Practice Address - City:EDGERTON
Practice Address - State:MN
Practice Address - Zip Code:56128
Practice Address - Country:US
Practice Address - Phone:507-873-2075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SLTN PHARMACY SERVICES, LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-03-25
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNTBD3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy