Snyder Drug Emporium
LBN: Snyders Drug
Snyder Drug Emporium is an health care organization with primary practice located at 12872 Bass Lake Rd , Maple Grove MN 55369-6308. 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) 559-3383, or through Ristau, Jodi via phone (952) 936-2404.
Contact Information
Primary practice address
12872 Bass Lake Rd
Maple Grove MN 55369-6308
Phone: (763) 559-3383
Fax: (763) 559-2682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 2617763 | Minnesota |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1942394341 |
|---|---|
| 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 7th, 2008 - about 16 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 | 1942394341 | NPPES |
| Other | 2421321 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 7138172 00 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 713817200 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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