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

Country Manor Campus LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1871767939

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

In the registry since
2008
Specialties on file
2
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
Sartell, MN 56377-1274
Phone: (320) 255-0801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1871767939
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationThe Foundation for Health Care Continuums
Authorized official Kevin Harguth — C.F.O. · (320) 258-8983
Other names Country Store And Pharmacy; Country Store And Pharmacy
NPI enumeratedApril 18, 2008
Last updated in NPPESJune 30, 2021
Certification dateJune 30, 2021
Mailing address520, 1st. St. Ne, Sartell, MN 56377-1274

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