Lake Elmo Pharmacy

LBN: Lake Elmo Pharmacy
Lake Elmo Pharmacy is an health care organization with primary practice located at 11240 Stillwater Blvd N , Lake Elmo MN 55042-9640. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. Lake Elmo Pharmacy can be contacted via phone (651) 773-0889, or through Rich, Nicholas R via phone (651) 773-0889.

Contact Information

Primary practice address
11240 Stillwater Blvd N Lake Elmo MN 55042-9640
Fax:
Website:
Authorized official contact:
Name: Rich, Nicholas R PHARMD

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 2611044 Minnesota

Profile Details

NPI number 1710012646
LBN Legal business name Lake Elmo Pharmacy
DBA Doing business as
Authorized official Rich, Nicholas R PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Aug 22nd, 2020 - about 5 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 1710012646 NPPES
Minnesota Other 2419275 NABP NUMBER

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