Prairiestone Pharmacy Llc in Eden Prairie - Pharmacist
Prairiestone Pharmacy Llc - NPI 1952431884
Prairiestone Pharmacy Llc is a Pharmacist in Eden Prairie, Minnesota. Prairiestone Pharmacy Llc practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Prairiestone Pharmacy Llc is 1952431884. The last update date is 2011-07-01.
Prairiestone Pharmacy Llc's current location address is 9995 W 69th St, Eden Prairie, Minnesota. You can contact this provider via phone number 9526565095 and fax number 9526565096. The mailing address for Prairiestone Pharmacy Llc is 9995 W 69th St, Eden Prairie, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prairiestone Pharmacy Llc |
|---|---|
| Address | 9995 W 69th St, Eden Prairie, Minnesota |
| Phone Number | 9526565095 |
| Fax Number | 9526565096 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO, SECRE |
|---|---|
| Authorized Official Name | Middendorf Matthew |
| Telephone Number | 3175698234 |
NPI Number Detail
| NPI Number | 1952431884 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2011-07-01 |
Provider Mailing Address Detail
| Address | 9995 W 69th St |
|---|---|
| City | Eden Prairie |
| State | Minnesota (MN) |
| Post Code | 553443457 |
| Phone Number | 9526565095 |
| Fax Number | 9526565096 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 262983 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 778630000 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Prairiestone Pharmacy Llc by the Centers for Medicare & Medicaid Services?
The Prairiestone Pharmacy Llc has been issued the NPI (National Provider Identifier) 1952431884 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Prairiestone Pharmacy Llc is physically located?
The Prairiestone Pharmacy Llc is physically situated at the following address: 9995 W 69Th St, Eden Prairie, MN, 553443457.
What is Prairiestone Pharmacy Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Prairiestone Pharmacy Llc's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
On what date did the Prairiestone Pharmacy Llc receive its 1952431884 assignment from the Centers for Medicare & Medicaid Services?
The Prairiestone Pharmacy Llc was assigned its 1952431884 by the Centers for Medicare & Medicaid Services on 2007-03-07.
When was the information related to Prairiestone Pharmacy Llc most recently updated or refreshed?
The details pertaining to the Prairiestone Pharmacy Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-07-01.