Goodrich Pharmacy INC
Pharmacy, Community/Retail Pharmacy in Andover, MN. Organization (NPI-2).
NPI number1619089612
StatusActive
Last updated in NPPESJul 6, 2023
Details
- NPI
- 1619089612
- Entity type
- Organization (NPI-2)
- Legal business name
- Goodrich Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Certification date
- Jun 29, 2023
- Last updated
- Jul 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 265079 | MN | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Goodrich Pharmacy Andover (Doing Business As)
Practice location
15245 Bluebird St NwSte B
Andover, MN 55304
Phone 763-434-1901 · Fax 763-587-4694
Mailing address
2621 Greenhaven Rd Ste 1Anoka, MN 55303-5566
Phone 763-421-4766 · Fax 763-421-9229
Authorized official
Scott Michael Benson
President.
7634341901
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