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

Grand Itasca Clinic and Hospital

Organization Community/Retail Pharmacy · NPI 1225441157

Grand Itasca Clinic and Hospital is a Community/Retail Pharmacy in Grand Rapids, Minnesota. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone: (218) 999-1702
Show map & directions

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

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1225441157
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGrand Itasca Clinic and Hospital
Authorized official Jean Macdonell — Ceo · (218) 326-3401
Other names Grand Itasca Pharmacy; Grand Itasca Pharmacy
NPI enumeratedJune 9, 2014
Last updated in NPPESMarch 24, 2022
Certification dateMarch 24, 2022
Mailing address1601 Golf Course Rd, Grand Rapids, MN 55744-8648

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