Goodrich Pharmacy Ltc

LBN: Goodrich Pharmacy, Inc.
Goodrich Pharmacy Ltc is an health care organization with primary practice located at 2321 7Th Ave , Anoka MN 55303-1790. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Goodrich Pharmacy, Inc. can be contacted via phone (763) 421-5540, or through Middendorf, Cory via phone (763) 421-5540.

Contact Information

Primary practice address
2321 7Th Ave Anoka MN 55303-1790
Phone: (763) 421-5540
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Middendorf, Cory
Phone: (763) 421-5540

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1457937773
LBN Legal business name Goodrich Pharmacy, Inc.
DBA Doing business as Goodrich Pharmacy Ltc
Authorized official Middendorf, Cory
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 18th, 2021
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 1457937773 NPPES
Minnesota MEDICAID 571358700

Popular Providers