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ST PETER PHARMACY LLC NPI 1871690974


NPI Information

NPI: 1871690974
Provider Name: ST PETER PHARMACY LLC

Doing Business As: FALCON COMPOUNDING

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
1801 OLD HIGHWAY 8 NW STE 121
NEW BRIGHTON, MN
ZIP 55112
Phone: (651) 788-7346
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ST PETER PHARMACY LLC is a compounding pharmacy pharmacy in New Brighton, MN. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. ST PETER PHARMACY LLC NPI is 1871690974. The provider is registered as an organization entity type.
The provider Is Doing Business As Falcon Compounding.

The provider's business location address is:

1801 OLD HIGHWAY 8 NW STE 121
NEW BRIGHTON, MN
ZIP 55112-307
Phone: (651) 788-7346
Fax: (651) 340-1294

The provider's authorized official is Cassandra Lyman .
The authorized official title is Partner and has the following contact phone number (651) 788-7346.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 5/1/2017.


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
23336C0004XPharmacyCompounding Pharmacy263914MINNESOTAYes

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
1035858400MEDICAIDMINNESOTA
22121976OTHERPK
36343200001MEDICARE NSC

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: 5/5/2024

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