Spring Park Pharmacy

LBN: Watertown Pharmacy Llc
Spring Park Pharmacy is an health care organization with primary practice located at 4689 Shoreline Drive Suite 100, Spring Park MN 55384. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Watertown Pharmacy Llc can be contacted via phone (952) 955-2153, or through Rosdahl, Rosemary via phone (952) 955-2153.

Contact Information

Primary practice address
4689 Shoreline Drive Suite 100 Spring Park MN 55384
Phone: (952) 955-2153
Fax: (952) 471-1212
Website:
Map and Directions
Authorized official contact:
Name: Rosdahl, Rosemary
Phone: (952) 955-2153

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1164770756
LBN Legal business name Watertown Pharmacy Llc
DBA Doing business as Spring Park Pharmacy
Authorized official Rosdahl, Rosemary
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2012
Last updated Jun 8th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164770756 NPPES
Minnesota MEDICAID 1164770756

Popular Providers