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PHALEN FAMILY PHARMACY LTD NPI 1972892438


NPI Information

NPI: 1972892438
Provider Name: PHALEN FAMILY PHARMACY LTD

Doing Business As: PHALEN FAMILY PHARMACY LTD

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 24D2171312

Address:
1001 JOHNSON PKWY STE B23
SAINT PAUL, MN
ZIP 55106
Phone: (651) 209-9000
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PHALEN FAMILY PHARMACY LTD is a community/retail pharmacy pharmacy in Saint Paul, MN. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. PHALEN FAMILY PHARMACY LTD NPI is 1972892438. The provider is registered as an organization entity type.
The provider Is Doing Business As Phalen Family Pharmacy Ltd.

The provider's business location address is:

1001 JOHNSON PKWY STE B23
SAINT PAUL, MN
ZIP 55106-474
Phone: (651) 209-9000
Fax: (651) 209-9009

The provider's authorized official is May Xia Lo .
The authorized official title is Pharmacist/ Owner and has the following contact phone number (612) 807-0269.

The CLIA number assigned to this NPI record is 24D2171312 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/5/2011 and was last updated on 10/19/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy263673MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12430736OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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