St Mary's Innovis Health
Community/Retail Pharmacy
211 Frazee Street East, Detroit Lakes
Minnesota, 56501
218-847-3537 218-847-4405
St Mary's Innovis Health is an authorized DME supplier for medicare equipments and products.
St Mary's Innovis Health is a Community/Retail Pharmacy in Detroit Lakes, Minnesota. This organization is also known as sub part of Essentia Health. It is located at 211 Frazee Street East, Detroit Lakes and it's customer support contact number is 218-847-3537. The authorized person of St Mary's Innovis Health is Mr. Alan Hurley who is Coo of the pharmacy and his contact number is 701-364-7667. Active license number of St Mary's Innovis Health is 263266 for Community/Retail Pharmacy in Minnesota. St Mary's Innovis Health accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
St Mary's Innovis Health 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:
St Mary's Innovis Health 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: | St Mary's Innovis Health |
| Type: | Community/Retail Pharmacy |
| Location: | 211 Frazee Street East, Detroit Lakes, Minnesota, 56501 |
| Phone: | 218-847-3537 |
| Fax: | 218-847-4405 |
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: | Mr. Alan Hurley |
| Position: | Coo |
| Contact Number: | 701-364-7667 |
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: | 1730110115 |
| Parent Organization: | Essentia Health |
| NPI Enumeration Date: | 05 Jul, 2006 |
| NPI Last Update On: | 03 Jul, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for St Mary's Innovis Health are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 263266 | Minnesota | Primary | |
| Clinic Pharmacy | 263266 | Minnesota | Secondary | |
| Long Term Care Pharmacy | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | 263266 | Minnesota | 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 |
| 2409995 | Other | Minnesota | Nabp Number |
| 290678000 | Medicaid | Minnesota | |
Medicare Enrollment:
St Mary's Innovis Health 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 |
| 4082804323 | O20100930022905 | St Marys Innovis Health | DME SUPPLIER - PHARMACY |
Products Available:
St Mary's Innovis Health has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 211 Frazee Street East, Detroit Lakes, Minnesota |
| Zip: | 56501 |
| Phone Number: | 218-847-3537 |
| Fax Number: | 218-847-4405 |
Patients can reach St Mary's Innovis Health at
211 Frazee Street East, Detroit Lakes, Minnesota or can
call on customer care at 218-847-3537.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.