TRAIL CREEK HEALTH CENTER
NPI 1811145436
Pharmacy - Compounding Pharmacy in Mankato, MN

Active since September 08, 2008
120 N AUGUSTA CT STE 103, MANKATO, MN 56001(507) 345-4302(507) 387-2917 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Trail Creek Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRAIL CREEK HEALTH CENTER (NPI 1811145436) is a healthcare organization registered as a compounding pharmacy in Mankato, Minnesota and active in the NPI registry since September 2008. The organization lists Brent E Blair, President, as its authorized official.

NPPES Registry Identity

NPI1811145436
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameBLAIRCO, INC.
Location Address120 N AUGUSTA CT STE 103Mankato, MN 56001-7720
Mailing Address120 N Augusta Ct Ste 103Mankato, MN 56001-7720 · (507) 345-4302 · Fax (507) 387-2917
Fax(507) 387-2917
Organization SubpartNo
Authorized OfficialBrent E BlairPresident · (507) 345-4302
Enumeration DateSeptember 8, 2008
Last NPPES UpdateMarch 7, 2023
NPI 1811145436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License Licensed in MN · 263083
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
120 N AUGUSTA CT STE 103, Mankato, MN 56001

Other Names 1

Doing Business AsTrail Creek Health Center

Other Identifiers 1

Other263083MN · Mn Board Of Pharmacy

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blairco, Inc.'s NPI number?

The NPI number for Blairco, Inc. is 1811145436. It was assigned to this organization in the NPPES registry on September 8, 2008. The provider is doing business as Trail Creek Health Center.

Where is Blairco, Inc. located?

Blairco, Inc. is located at 120 N Augusta Ct Ste 103, Mankato, MN 56001. The listed phone number is (507) 345-4302.

What is Blairco, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Blairco, Inc. was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.