Goodrich Pharmacy Inc

LBN: Goodrich Pharmacy Inc
Goodrich Pharmacy Inc is an health care organization with primary practice located at 2621 Greenhaven Rd Ste 1 , Anoka MN 55303-5566. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Goodrich Pharmacy Inc can be contacted via phone (763) 421-5540, or through Simenson, Steven Thomas via phone (763) 421-5540.

Contact Information

Primary practice address
2621 Greenhaven Rd Ste 1 Anoka MN 55303-5566
Phone: (763) 421-5540
Fax: (763) 421-9229
Website:
Map and Directions
Authorized official contact:
Name: Simenson, Steven Thomas RPH
Phone: (763) 421-5540

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X Z008330 Minnesota
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1346244274
LBN Legal business name Goodrich Pharmacy Inc
DBA Doing business as Goodrich Pharmacy Inc
Authorized official Simenson, Steven Thomas RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2005
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346244274 NPPES
Other 24D0914028 CLIA
MEDICAID 571358700 CLIA
Other 0548820001 CLIA

Popular Providers