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Shakopee Mdewakanton Sioux Comm Phcy
Clinic Pharmacy in Prior Lake, Minnesota
NPI 1437203882

Shakopee Mdewakanton Sioux Comm Phcy is a Clinic Pharmacy based in Prior Lake, MN and is specialized in Clinic Pharmacy. Shakopee Mdewakanton Sioux Comm Phcy practices in Prior Lake, MN. The NPI Number for Shakopee Mdewakanton Sioux Comm Phcy is 1437203882 and holds a License No. 262982 (Minnesota).

The current practice location address for Shakopee Mdewakanton Sioux Comm Phcy is 15045 Mystic Lake Dr Nw, Prior Lake, MN and can be reached out via phone at 952-233-2900 and via fax at 952-233-8066.

Location: 15045 Mystic Lake Dr Nw, Prior Lake, MN, 55372-9011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437203882
Provider Name
Shakopee Mdewakanton Sioux Comm Phcy
Credential
Provider Entity Type
Organization
Address
15045 Mystic Lake Dr Nw, Prior Lake, MN, 55372-9011
Phone Number
952-233-2900
Fax Number
952-233-8066
Provider Enumeration Date
01/23/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2049180 01 PK
institution
Provider Business Practice Location Address Details
Address
15045 Mystic Lake Dr Nw
City
Prior Lake
State
Minnesota
Zip
55372-9011
Phone Number
952-233-2900
Fax Number
952-233-8066
person
Provider Business Mailing Address Details
Address
15045 Mystic Lake Dr Nw
City
Prior Lake
State
Minnesota
Zip
55372-9011
Phone Number
952-233-2900
Fax Number
952-233-8066
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
262982 (Minnesota)
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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