East Ottertail Pharmacy
Community/Retail Pharmacy
1000 Coney St W, Perham
Minnesota, 56573-2102
218-347-1570 218-347-1574
East Ottertail Pharmacy is a Community/Retail Pharmacy in Perham, Minnesota. It is located at 1000 Coney St W, Perham and it's customer support contact number is 218-347-1570. The authorized person of East Ottertail Pharmacy is Duane Wallace who is Pharmacy Director of the pharmacy and his contact number is 218-347-1571. Active license number of East Ottertail Pharmacy is 260379 for Community/Retail Pharmacy in Minnesota. East Ottertail Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
East Ottertail Pharmacy is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
East Ottertail Pharmacy 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: | East Ottertail Pharmacy |
| Type: | Community/Retail Pharmacy |
| Location: | 1000 Coney St W, Perham,
Minnesota, 56573-2102 |
| Phone: | 218-347-1570 |
| Fax: | 218-347-1574 |
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: | Duane Wallace |
| Position: | Pharmacy Director |
| Contact Number: | 218-347-1571 |
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: | 1558473546 |
| NPI Enumeration Date: | 31 Aug, 2006 |
| NPI Last Update On: | 10 Feb, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for East Ottertail Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 260379 | Minnesota | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 626258900 | Medicaid | Minnesota | |
| 2046463 | Other | | Pk |
Medicare Enrollment:
East Ottertail Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7517087703 | O20100930083077 | East Ottertail Pharmacy | DME SUPPLIER - PHARMACY |
Products Available:
East Ottertail Pharmacy has following products available for sale under medicare.
| Products: |
|---|
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Cpap, Rads, & Related Supplies & Accessories | • Diabetic Shoes & Inserts: Custom Fabricated |
| • Diabetic Shoes & Inserts: Prefabricated | • Heat & Cold Applications |
| • Nebulizer Equipment & Supplies | • Orthoses: Off-the-shelf |
| • Orthoses: Prefabricated | • Patient Lifts |
| • Power Operated Vehicles (scooters) | • Seat Lift Mechanisms |
| • Traction Equipment | • Transcutaneous Electrical Nerve Stimulators (tens) Units |
| • Walkers | • Wheelchair Seating/cushions |
| • Wheelchairs & Accessories: Standard Manual | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1000 Coney St W,
Perham, Minnesota |
| Zip: | 56573-2102 |
| Phone Number: | 218-347-1570 |
| Fax Number: | 218-347-1574 |
Patients can reach East Ottertail Pharmacy at
1000 Coney St W, Perham, Minnesota or can
call on customer care at 218-347-1570.
Comments/ Reviews:
Read all the reviews posted for East Ottertail Pharmacy below. You may also share your own experience with East Ottertail Pharmacy. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.