Chanhassen Center Drug

LBN: Chanhassen Center Drug
Chanhassen Center Drug is an health care organization with primary practice located at 111 Hundertmark Rd Ste 100 , Chaska MN 55318-1194. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Chanhassen Center Drug can be contacted via phone (952) 949-1002, or through Anderson, Bruce via phone (952) 949-1002.

Contact Information

Primary practice address
111 Hundertmark Rd Ste 100 Chaska MN 55318-1194
Fax: (952) 949-0233
Website:
Authorized official contact:
Name: Anderson, Bruce

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2625522 Minnesota
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1891807897
LBN Legal business name Chanhassen Center Drug
DBA Doing business as Chanhassen Center Drug
Authorized official Anderson, Bruce
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 22nd, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891807897 NPPES
Minnesota MEDICAID 099560600
Minnesota Other 2046933

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