Park Nicollet Pharmacy #87017
LBN: Group Health Plan, Inc.
Park Nicollet Pharmacy #87017 is an health care organization with primary practice located at 3800 Park Nicollet Blvd Ste 1170 , St Louis Park MN 55416-2527. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Group Health Plan, Inc. can be contacted via phone (952) 977-3050, or through Busch, David via phone (952) 967-6876.
Contact Information
Primary practice address
3800 Park Nicollet Blvd Ste 1170
St Louis Park MN 55416-2527
Phone: (952) 977-3050
Fax: (952) 883-9747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1104360973 |
|---|---|
| LBN Legal business name | Group Health Plan, Inc. |
| DBA Doing business as | Park Nicollet Pharmacy #87017 |
| Authorized official | Busch, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 13th, 2016 |
| Last updated | Jun 8th, 2020 - about 4 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 | 1104360973 | NPPES |
| Minnesota | MEDICAID | 155438300 |
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