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Oxybora Distributing, Llc
Compounding Pharmacy in St Louis Park, Minnesota
NPI 1609029297

Oxybora Distributing, Llc is a Compounding Pharmacy based in St Louis Park, MN and is specialized in Compounding Pharmacy. Oxybora Distributing, Llc practices in St Louis Park, MN. The NPI Number for Oxybora Distributing, Llc is 1609029297 and holds a License No. (Minnesota).

The current practice location address for Oxybora Distributing, Llc is 4335 Excelsior Blvd, St Louis Park, MN and can be reached out via phone at 952-922-4444 and via fax at 952-922-4455.

Location: 4335 Excelsior Blvd, St Louis Park, MN, 55416-4811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609029297
Provider Name
Oxybora Distributing, Llc
Credential
Provider Entity Type
Organization
Address
4335 Excelsior Blvd, St Louis Park, MN, 55416-4811
Phone Number
952-922-4444
Fax Number
952-922-4455
Provider Enumeration Date
10/28/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2117770 01 PK
institution
Provider Business Practice Location Address Details
Address
4335 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55416-4811
Phone Number
952-922-4444
Fax Number
952-922-4455
person
Provider Business Mailing Address Details
Address
4335 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55416-4811
Phone Number
952-922-4444
Fax Number
952-922-4455
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
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
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
263262 (Minnesota)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
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.
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