Medicine Shoppe Pharmacy
LBN: D.W.Koski,Inc.
Medicine Shoppe Pharmacy is an health care organization with primary practice located at 750 Main St Suite 103, Mendota Heights MN 55118-3764. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
D.W.Koski,Inc. can be contacted via phone (651) 455-6873, or through Koski, Daniel William via phone (651) 455-6873.
Contact Information
Primary practice address
750 Main St Suite 103
Mendota Heights MN 55118-3764
Phone: (651) 455-6873
Fax: (651) 451-7997
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 2612218 | Minnesota |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | Minnesota |
Profile Details
| NPI number | 1871583898 |
|---|---|
| LBN Legal business name | D.W.Koski,Inc. |
| DBA Doing business as | Medicine Shoppe Pharmacy |
| Authorized official | Koski, Daniel William R.PH. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 21st, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871583898 | NPPES |
| Minnesota | Other | 2421460 | NCPDP NUMBER |
| Minnesota | MEDICAID | 693516800 | NCPDP NUMBER |
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