Park Nicollet Pharmacy Tria
LBN: Park Nicollet Health Care Products
Park Nicollet Pharmacy Tria is an health care organization with primary practice located at 8100 Northland Dr , Bloomington MN 55431-4800. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Park Nicollet Health Care Products can be contacted via phone (952) 977-0470, or through Busch, David via phone (952) 967-5049.
Contact Information
Primary practice address
8100 Northland Dr
Bloomington MN 55431-4800
Phone: (952) 977-0470
Fax: (952) 977-0471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 264497 | Minnesota |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1366859936 |
|---|---|
| LBN Legal business name | Park Nicollet Health Care Products |
| DBA Doing business as | Park Nicollet Pharmacy Tria |
| Authorized official | Busch, David |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 16th, 2014 |
| Last updated | Jul 7th, 2016 - about 8 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 | 1366859936 | NPPES |
| Minnesota | MEDICAID | 1366859936 | |
| Minnesota | Other | 2146852 |
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