Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Country Manor Campus LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1497929558

Country Manor Campus LLC is a Durable Medical Equipment & Medical Supplies in Sartell, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

520 1st St NE Ste A
Sartell, MN 56377-1274
Phone: (320) 255-0801
Fax: (320) 230-3825
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X · Licence 262882 (MN)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1497929558
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Lemm — Pharmacist In Charge · (320) 255-0801
Other names Country Manor Ltc Pharmacy; Country Manor Ltc Pharmacy
NPI enumeratedApril 18, 2008
Last updated in NPPESJune 30, 2021
Certification dateJune 30, 2021
Mailing address520 1st St Ne, Suite A, Sartell, MN 56377-1274

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