Centracare Clinic - Long Prairie
Non-pharmacy Dispensing Site
24 9th St Se, Long Prairie
Minnesota, 56347-1404
320-732-2131 Centracare Clinic - Long Prairie is a Non-pharmacy Dispensing Site in Long Prairie, Minnesota. This organization is also known as sub part of Medvantx, Inc.. It is located at 24 9th St Se, Long Prairie and it's customer support contact number is 320-732-2131. The authorized person of Centracare Clinic - Long Prairie is Kenny Heine who is Vp Of Operations of the pharmacy and his contact number is 858-625-2990. Active license number of Centracare Clinic - Long Prairie is 36275 for Non-pharmacy Dispensing Site in Minnesota.
Centracare Clinic - Long Prairie is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Centracare Clinic - Long Prairie type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Centracare Clinic - Long Prairie |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 24 9th St Se, Long Prairie,
Minnesota, 56347-1404 |
| Phone: | 320-732-2131 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kenny Heine |
| Position: | Vp Of Operations |
| Contact Number: | 858-625-2990 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1184890097 |
| Parent Organization: | Medvantx, Inc. |
| NPI Enumeration Date: | 01 May, 2008 |
| NPI Last Update On: | 02 Dec, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Centracare Clinic - Long Prairie are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | 36275 | Minnesota | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9276 Scranton Rd, Suite 100
San Diego, California |
| Zip: | 92121-7701 |
| Phone Number: | 858-625-2990 |
Patients can reach Centracare Clinic - Long Prairie at
24 9th St Se, Long Prairie, Minnesota or can
call on customer care at 320-732-2131.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.