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MAIN STREET PHARMACY INC NPI 1851466973


NPI Information

NPI: 1851466973
Provider Name: MAIN STREET PHARMACY INC
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
24 3RD STREET NE
OSSEO, MN
ZIP 55369
Phone: (763) 493-5242
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MAIN STREET PHARMACY INC is a pharmacy in Osseo, MN. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. MAIN STREET PHARMACY INC NPI is 1851466973. The provider is registered as an organization entity type.

The provider's business location address is:

24 3RD STREET NE
OSSEO, MN
ZIP 55369
Phone: (763) 493-5242
Fax: (763) 493-2621

The provider's authorized official is Randall Alvin Hohbein .
The authorized official title is Owner and has the following contact phone number (763) 493-5242.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 4/10/2013.


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
1333600000XPharmacy2605322MINNESOTAYes

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
12418526OTHERNABP
22605322OTHERMINNESOTASTATE BOARD OF PHARMACY
3484360600MEDICAIDMINNESOTA
41261250001MEDICARE NSCMINNESOTA

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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