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HANSON NORTHDALE DRUG NPI 1386780997


NPI Information

NPI: 1386780997
Provider Name: HANSON NORTHDALE DRUG
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
544 NORTHDALE BLVD NW
COON RAPIDS, MN
ZIP 55448
Phone: (763) 755-2200
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HANSON NORTHDALE DRUG is a community/retail pharmacy pharmacy in Coon Rapids, 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. HANSON NORTHDALE DRUG NPI is 1386780997. The provider is registered as an organization entity type.

The provider's business location address is:

544 NORTHDALE BLVD NW
COON RAPIDS, MN
ZIP 55448-366
Phone: (763) 755-2200
Fax: (763) 755-7328

The provider's authorized official is Gary Benson .
The authorized official title is Owner and has the following contact phone number (763) 755-2200.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 9/12/2007.


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
23336C0003XPharmacyCommunity/Retail Pharmacy2601504MINNESOTAYes

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
12402446OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
22402446OTHEROTHER ID NUMBER
32601504MEDICAIDMINNESOTA

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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