ERICKSONS DIVERSIFIED LLC NPI 1043368319

NPI Information

  • NPI: 1043368319
  • Provider Name: ERICKSONS DIVERSIFIED LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • :
  • Address: 603 DIVISION ST S
    NORTHFIELD, MN
    ZIP 55057
  • Phone: (507) 645-4489

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NPI Details

ERICKSONS DIVERSIFIED LLC is a community/retail pharmacy pharmacy in Northfield, 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. ERICKSONS DIVERSIFIED LLC NPI is 1043368319. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

603 DIVISION ST S
NORTHFIELD, MN
ZIP 55057-426
Phone: (507) 645-4489
Fax: (507) 663-1006

The provider's authorized official is Amy Ellis .
The authorized official title is Director Of Pharmacy and has the following contact phone number (616) 878-2848.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 10/29/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1951060500MEDICAIDMINNESOTA

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: 11/21/2025

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