Cpmg-Andover Pharmacy

LBN: Columbia Park Medical Group, Pa
Cpmg-Andover Pharmacy is an health care organization with primary practice located at 13819 Hanson Blvd Nw Suite 100, Andover MN 55304-7608. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Columbia Park Medical Group, Pa can be contacted via phone (763) 862-4445, or through Weir, John Louis via phone (763) 586-5877.

Contact Information

Primary practice address
13819 Hanson Blvd Nw Suite 100 Andover MN 55304-7608
Phone: (763) 862-4445
Fax: (763) 862-4465
Website:
Map and Directions
Authorized official contact:
Name: Weir, John Louis
Phone: (763) 586-5877

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 261566-8 Minnesota

Profile Details

NPI number 1417056698
LBN Legal business name Columbia Park Medical Group, Pa
DBA Doing business as Cpmg-Andover Pharmacy
Authorized official Weir, John Louis
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Mar 7th, 2023 - about 2 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 1417056698 NPPES
Minnesota Other 306066 ANDA
Minnesota Other 45Q12CO ANDA
Minnesota Other 10016952 ANDA
Minnesota Other 24-22917 ANDA
Minnesota Other 314420 ANDA

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