Goodrich Pharmacy Elk River

LBN: Goodrich Pharmacy, Inc.
Goodrich Pharmacy Elk River is an health care organization with primary practice located at 530 3Rd St Nw , Elk River MN 55330-1445. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Goodrich Pharmacy, Inc. can be contacted via phone (763) 441-0764, or through Davis, Stephanie Marie via phone (763) 421-5540.

Contact Information

Primary practice address
530 3Rd St Nw Elk River MN 55330-1445
Phone: (763) 441-0764
Fax: (763) 587-4897
Website:
Map and Directions
Authorized official contact:
Name: Davis, Stephanie Marie
Phone: (763) 421-5540

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X 265080 Minnesota
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1174635171
LBN Legal business name Goodrich Pharmacy, Inc.
DBA Doing business as Goodrich Pharmacy Elk River
Authorized official Davis, Stephanie Marie
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 6th, 2023 - about last year

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 1174635171 NPPES
Other 2046716 PK
MEDICAID 606360800 PK

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