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Contact Information

SNYDERS DRUG
2083 FORD PWKY
SAINT PAUL, MN55116
 Phone: 651-698-1883
 Fax: 651-690-2013
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SNYDERS DRUG

NPI # 1568556819
LBN Legal business name SNYDERS DRUG
Authorized official JODI RISTAU - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2006
Last updated 08/06/2008 - About 18 years ago
Identifiers
MN License # 2617718
MN Medicaid 8510571 00
MN Medicaid 851057100
Other 2400365 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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