PETOSKEY, INC. (NPI# 1912116054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912116054 |
| Entity Type | Organization |
| Organization Name | PETOSKEY, INC. |
| Other Organization Name | ARROW-PASEK PHARMACY |
| Practice Address |
109 N 2nd Ave W Suite 200 Duluth MN 55802-1911 |
| Practice Telephone | 2187336800 |
| Practice Fax Number | 2187404048 |
| Mailing Telephone | 2187336800 |
| Mailing Fax Number | 2187404048 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2009-11-30 |
| Authorized Official Name | CHARLES KORSCH (CEO) |
| Authorized Official Telephone | 2187336800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
263020 | MN | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
263020 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 945437000 | 05 |
| Other Name | Type Code |
|---|---|
| Arrow-Pasek Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PETOSKEY, INC. | 3780 Shorewood Ave, Greenbank, WA 98253-6202 |
| Street Address |
109 N 2ND AVE W SUITE 200 |
| City | DULUTH |
| State | MN |
| Zip Code | 55802-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
| 1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
| 1982151361 | Tiffany Riester | Counselor | 332 W Superior Street, Suite 300, Duluth, MN 55802 | 2016-09-02 |
| 1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
| 1437559051 | Natalie R Zwak | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802 | 2014-09-02 |
| 1447679279 | Valerie Lou Shelton | Registered Nurse | 118 E Superior St., Duluth, MN 55802 | 2014-04-09 |
| 1285063115 | Brian Bergstedt | Counselor | 332 West Superior Street, Suite 300, Duluth, MN 55802 | 2013-11-01 |
| 1508135948 | Karen Dee Turner | Counselor | 202 W. Superior Street, Suite 700, Duluth, MN 55802 | 2011-12-14 |
| 1497023410 | Jean Barrie Mcbride | Pharmacist | 1131 East Superior Street, Duluth, MN 55802 | 2011-12-05 |
| 1194092304 | Diane Murphy Winship | Pharmacist | 1331 Superior St, Duluth, MN 55802 | 2011-11-17 |
| Find all providers in zip 55802 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782998 | Anchor Plus Rx, LLC | Pharmacy | 3800 Pleasant Hill Rd Ste 2, Duluth, GA 30096-1428 | 2018-12-17 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1073917449 | Suju Enterprise Inc | Pharmacy | 4195 Pleasant Hill Rd.suite D, Duluth, GA 30096 | 2014-10-14 |
| 1285050823 | Duluth Pharmacy LLC | Pharmacy | 3890 Pleasant Hill Rd Ste 103, Duluth, GA 30096-4807 | 2014-03-06 |
| 1326383498 | Corner Pharmacy Inc | Pharmacy | 2550 Pleasant Hill Rd Ste 120, Duluth, GA 30096-9278 | 2012-11-30 |
| 1265627681 | Falks Woodland Pharmacy Inc | Pharmacy | 1600 Woodland Ave, Duluth, MN 55803-2628 | 2007-09-10 |
| 1063627271 | Prescription Specialties | Pharmacy | 1601 London Rd, Duluth, MN 55812-1620 | 2007-05-11 |
| 1205978996 | Bingamite | Pharmacy | 113 N 2nd Ave W, Duluth, MN 55802-1911 | 2007-02-12 |
| 1215019005 | Duluth Rexall Pharmacy Inc | Pharmacy | 3165 Buford Hwy, Duluth, GA 30096-3351 | 2006-10-20 |
| 1982707733 | Georgia Cvs Pharmacy LLC | Pharmacy | 4110 Pleasant Hill Rd, Duluth, GA 30096-4853 | 2006-09-07 |
| Find all providers in DULUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.