Grand Itasca Clinic And Hospital
Community/Retail Pharmacy
1601 Golf Course Rd, Grand Rapids
Minnesota, 55744-8648
218-999-1702 Grand Itasca Clinic And Hospital is a Community/Retail Pharmacy in Grand Rapids, Minnesota. This organization is also known as sub part of Grand Itasca Clinic And Hospital. It is located at 1601 Golf Course Rd, Grand Rapids and it's customer support contact number is 218-999-1702. The authorized person of Grand Itasca Clinic And Hospital is Mrs. Jean Macdonell who is Ceo of the pharmacy and her contact number is 218-326-3401. Grand Itasca Clinic And Hospital accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Grand Itasca Clinic And Hospital 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:
Grand Itasca Clinic And Hospital 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: | Grand Itasca Clinic And Hospital |
| Type: | Community/Retail Pharmacy |
| Location: | 1601 Golf Course Rd, Grand Rapids,
Minnesota, 55744-8648 |
| Phone: | 218-999-1702 |
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: | Mrs. Jean Macdonell |
| Position: | Ceo |
| Contact Number: | 218-326-3401 |
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: | 1225441157 |
| Parent Organization: | Grand Itasca Clinic And Hospital |
| NPI Enumeration Date: | 09 Jun, 2014 |
| NPI Last Update On: | 24 Mar, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grand Itasca Clinic And Hospital are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | | | Primary | |
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 |
| 288995200 | Medicaid | Minnesota | |
Medicare Enrollment:
Grand Itasca Clinic And Hospital 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 |
| 8123939550 | O20160324002173 | Grand Itasca Clinic And Hospital | PART B SUPPLIER - OTHER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1601 Golf Course Rd,
Grand Rapids, Minnesota |
| Zip: | 55744-8648 |
| Phone Number: | 218-999-1885 |
| Fax Number: | 218-999-1887 |
Patients can reach Grand Itasca Clinic And Hospital at
1601 Golf Course Rd, Grand Rapids, Minnesota or can
call on customer care at 218-999-1702.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.