Hanson Northdale Drug

LBN: Hanson Northdale Drug
Hanson Northdale Drug is an health care organization with primary practice located at 544 Northdale Blvd Nw , Coon Rapids MN 55448-3366. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Hanson Northdale Drug can be contacted via phone (763) 755-2200, or through Benson, Gary via phone (763) 755-2200.

Contact Information

Primary practice address
544 Northdale Blvd Nw Coon Rapids MN 55448-3366
Fax: (763) 755-7328
Website:
Authorized official contact:
Name: Benson, Gary

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2601504 Minnesota

Profile Details

NPI number 1386780997
LBN Legal business name Hanson Northdale Drug
DBA Doing business as
Authorized official Benson, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Sep 12th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386780997 NPPES
Other 2402446 OTHER ID NUMBER-COMMERCIAL NUMBER
Other 2402446 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 2601504 OTHER ID NUMBER-COMMERCIAL NUMBER

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