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GROUP HEALTH PLAN INC. NPI 1104360973


NPI Information

NPI: 1104360973
Provider Name: GROUP HEALTH PLAN, INC.

Doing Business As: PARK NICOLLET PHARMACY #87017

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
3800 PARK NICOLLET BLVD STE 1170
ST LOUIS PARK, MN
ZIP 55416
Phone: (952) 977-3050
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GROUP HEALTH PLAN, INC. is a community/retail pharmacy pharmacy in St Louis Park, 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. GROUP HEALTH PLAN, INC. NPI is 1104360973. The provider is registered as an organization entity type.
The provider Is Doing Business As Park Nicollet Pharmacy #87017.

The provider's business location address is:

3800 PARK NICOLLET BLVD STE 1170
ST LOUIS PARK, MN
ZIP 55416-527
Phone: (952) 977-3050
Fax: (952) 883-9747

The provider's authorized official is David Busch .
The authorized official title is Vp Pharmacy Operations and has the following contact phone number (952) 967-6876.

The enumeration date for this NPI number is 12/13/2016 and was last updated on 6/8/2020.


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
1333600000XPharmacyNo
23336S0011XPharmacySpecialty PharmacyNo
33336C0003XPharmacyCommunity/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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1155438300MEDICAIDMINNESOTA

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: 11/14/2023

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