Lotus Ltc Pharmacy LLC
Pharmacy, Long Term Care Pharmacy in Plymouth, MN. Organization (NPI-2).
NPI number1629613005
StatusActive
Last updated in NPPESApr 22, 2022
Details
- NPI
- 1629613005
- Entity type
- Organization (NPI-2)
- Legal business name
- Lotus Ltc Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Nov 9, 2019
- Certification date
- Apr 22, 2022
- Last updated
- Apr 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
Other names
- Lotus Pharmacy (Doing Business As)
Practice location
9850 51st Ave N Ste 102Plymouth, MN 55442-3271
Phone 612-415-9145
Mailing address
Po Box 27559Golden Valley, MN 55427-0559
Phone 612-425-9145
Authorized official
Jill Marie Lytwyn
Ceo
6124259145
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