Prorx Pharmacy

LBN: Spps Llc L L C
Prorx Pharmacy is an health care organization with primary practice located at 621 Marie Ave , South Saint Paul MN 55075-2039. 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. Spps Llc L L C can be contacted via phone (651) 457-2725, or through Vanhulle, Sharon via phone (920) 834-4455.

Contact Information

Primary practice address
621 Marie Ave South Saint Paul MN 55075-2039
Phone: (651) 457-2725
Fax: (651) 457-2734
Website:
Map and Directions
Authorized official contact:
Name: Vanhulle, Sharon
Phone: (920) 834-4455

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 265170 Minnesota

Profile Details

NPI number 1750833653
LBN Legal business name Spps Llc L L C
DBA Doing business as Prorx Pharmacy
Authorized official Vanhulle, Sharon
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2016
Last updated Jul 19th, 2018 - about 6 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 1750833653 NPPES
Other 2165854 PK
MEDICAID 1750833653 PK

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