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Park Nicollet Health Care Products
Clinic Pharmacy in Maple Grove, Minnesota
NPI 1548222953

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 Maple Grove, MN. The NPI Number for Park Nicollet Health Care Products is 1548222953 and holds a License No. (Minnesota).

The current practice location address for Park Nicollet Health Care Products is 15800 95Th Ave N, Maple Grove, MN and can be reached out via phone at 952-993-1440.

Location: 15800 95Th Ave N, Maple Grove, MN, 55416-2527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548222953
Provider Name
Park Nicollet Health Care Products
Credential
Provider Entity Type
Organization
Address
15800 95Th Ave N, Maple Grove, MN, 55416-2527
Phone Number
952-993-1440
Fax Number
Provider Enumeration Date
04/03/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2429733 01 NCPDP PROVIDER IDENTIFICATION NUMBER
21398500 05 MN
institution
Provider Business Practice Location Address Details
Address
15800 95Th Ave N
City
Maple Grove
State
Minnesota
Zip
55369-4400
Phone Number
952-993-1440
Fax Number
person
Provider Business Mailing Address Details
Address
15800 95Th Ave N
City
Maple Grove
State
Minnesota
Zip
55369-4400
Phone Number
952-993-1440
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
263381 (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
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
()
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
person
Provider's Taxonomy Details 3
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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