Organization Name: | PARK NICOLLET HEALTH CARE PRODUCTS |
NPI Number: | 1043327216 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID BUSCH (DIRECTOR) |
Mailing Address: | 1885 Plaza Dr Eagan |
State: | MN US |
Postal Code: | 551222979 |
Phone Number: | 9529934004 |
Fax Number: | 9529934016 |
NPI Enumeration Date: | 08/24/2006 |
NPI Last Update Date: | 03/31/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0002X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Clinic Pharmacy |
Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |