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Contact Information

SNYDERS DRUG
HWY 71
MENAHGA, MN56464
 Phone: 218-564-4511
 Fax: 218-564-5088
 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 Number 1639263981
LBN Legal business name SNYDERS DRUG
Authorized official JODI RISTAU - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2006
Last updated 08/07/2008 - About 18 years ago
Identifiers
MN License # 2618869
MN Medicaid 3166270 00
MN Medicaid 318627000
Other 2421597 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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