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Park Nicollet Health Care Products
Clinic Pharmacy in Wayzata, Minnesota
NPI 1285713594

Park Nicollet Health Care Products is a Clinic Pharmacy based in St Louis Park, MN and is specialized in Clinic Pharmacy. Park Nicollet Health Care Products practices in Wayzata, MN. The NPI Number for Park Nicollet Health Care Products is 1285713594 and holds a License No. (Minnesota).

The current practice location address for Park Nicollet Health Care Products is 250 Central Ave N, Wayzata, MN and can be reached out via phone at 952-993-8250.

Location: 250 Central Ave N, Wayzata, MN, 55416-2527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285713594
Provider Name
Park Nicollet Health Care Products
Credential
Provider Entity Type
Organization
Address
250 Central Ave N, Wayzata, MN, 55416-2527
Phone Number
952-993-8250
Fax Number
Provider Enumeration Date
11/06/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2419162 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
250 Central Ave N
City
Wayzata
State
Minnesota
Zip
55391-1206
Phone Number
952-993-8250
Fax Number
person
Provider Business Mailing Address Details
Address
250 Central Ave N
City
Wayzata
State
Minnesota
Zip
55391-1206
Phone Number
952-993-8250
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
(Minnesota)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
()
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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