institution
Columbia Park Medical Group, Pa
Clinic Pharmacy in Brooklyn Park, Minnesota
NPI 1649370396

Columbia Park Medical Group, Pa is a Clinic Pharmacy based in Fridley, MN and is specialized in Clinic Pharmacy. Columbia Park Medical Group, Pa practices in Brooklyn Park, MN. The NPI Number for Columbia Park Medical Group, Pa is 1649370396 and holds a License No. 262454-9 (Minnesota).

The current practice location address for Columbia Park Medical Group, Pa is 10000 Zane Ave N, Brooklyn Park, MN and can be reached out via phone at 763-569-6281 and via fax at 763-569-6211. You can also correspond with Columbia Park Medical Group, Pa through the mailing address at 6401 UNIVERSITY AVE NE, FRIDLEY, MN - 55432-4341 (mailing address contact number: 763-572-5710).

Location: 10000 Zane Ave N, Brooklyn Park, MN, 55432-4341
institution
Provider Profile Details
NPI Number
1649370396
Provider Name
Columbia Park Medical Group, Pa
Credential
Provider Entity Type
Organization
Address
10000 Zane Ave N, Brooklyn Park, MN, 55432-4341
Phone Number
763-569-6281
Fax Number
763-569-6211
Provider Enumeration Date
09/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10118513 01 MN IPC NUMBER
076751 01 MN ANDA
831146 01 MN MCKESSON
2426220 01 MN NABP NUMBER
02071BR 01 MN BCBS DME NUMBER
institution
Provider Business Practice Location Address Details
Address
10000 Zane Ave N
City
State
Zip
55443-1400
Phone Number
763-569-6281
Fax Number
763-569-6211
person
Provider Business Mailing Address Details
Address
6401 University Ave Ne
City
State
Zip
55432-4341
Phone Number
763-572-5710
Fax Number
763-571-3008
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
License No.
262454-9 (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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