Snyder Drug Emporium

LBN: Snyders Drug
Snyder Drug Emporium is an health care organization with primary practice located at 12521 Central Ave Ne , Blaine MN 55434-4861. 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. Snyders Drug can be contacted via phone (763) 755-8704, or through Ristau, Jodi via phone (952) 936-2404.

Contact Information

Primary practice address
12521 Central Ave Ne Blaine MN 55434-4861
Phone: (763) 755-8704
Fax: (763) 862-9097
Website:
Map and Directions
Authorized official contact:
Name: Ristau, Jodi
Phone: (952) 936-2404

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 2618144 Minnesota
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1235223637
LBN Legal business name Snyders Drug
DBA Doing business as Snyder Drug Emporium
Authorized official Ristau, Jodi
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Aug 6th, 2008 - 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 1235223637 NPPES
Minnesota MEDICAID 820562100
Minnesota Other 2413879
Minnesota MEDICAID 8205621 00

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