Hanson Northdale Drug
Pharmacy, Community/Retail Pharmacy in Coon Rapids, MN. Organization (NPI-2).
NPI number1386780997
StatusActive
Last updated in NPPESSep 12, 2007
Details
- NPI
- 1386780997
- Entity type
- Organization (NPI-2)
- Legal business name
- Hanson Northdale Drug
- Organization subpart
- No
- Enumeration date
- Jan 30, 2007
- Last updated
- Sep 12, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 2601504 | MN | Yes |
| 333600000X | Pharmacy | – | – |
Practice location
544 Northdale Blvd NwCoon Rapids, MN 55448-3366
Phone 763-755-2200 · Fax 763-755-7328
Mailing address
544 Northdale Blvd NwCoon Rapids, MN 55448-3366
Authorized official
Gary Benson
Owner
7637552200
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All 9 Community/Retail Pharmacy providers in Coon Rapids · All 2,183 providers in Coon Rapids
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