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

Grand Itasca Clinic and Hospital

Organization Pharmacy · NPI 1902379159

Grand Itasca Clinic and Hospital is a Pharmacy in Grand Rapids, Minnesota. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone: (218) 999-1885
Fax: (218) 999-1887
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X

Record details

NPI number1902379159
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGrand Itasca Clinic & Hospital
Authorized official Jean Macdonell — Vp, Clinic Services · (218) 999-1510
Other names Grand Itasca Pharmacy
NPI enumeratedJanuary 9, 2019
Last updated in NPPESJanuary 9, 2019
Mailing address1601 Golf Course Rd, Grand Rapids, MN 55744-8648

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