Columbia Park Medical Group, Pa in Fridley - Clinic Pharmacy
Columbia Park Medical Group, Pa - NPI 1649370396
Columbia Park Medical Group, Pa is a Clinic Pharmacy in Fridley, Minnesota. Columbia Park Medical Group, Pa practices all healthcare services and medical treatments related to Clinic Pharmacy. The NPI Number for Columbia Park Medical Group, Pa is 1649370396. The last update date is 2023-03-07.
Columbia Park Medical Group, Pa's current location address is 6401 University Ave Ne, Fridley, Minnesota. You can contact this provider via phone number 7635725710 and fax number 7635713008. The mailing address for Columbia Park Medical Group, Pa is 6401 University Ave Ne, Fridley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Columbia Park Medical Group, Pa |
|---|---|
| Address | 6401 University Ave Ne, Fridley, Minnesota |
| Phone Number | 7635725710 |
| Fax Number | 7635713008 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Weir Louis John |
| Telephone Number | 7635865877 |
NPI Number Detail
| NPI Number | 1649370396 |
|---|---|
| Provider Enumeration Date | 2006-09-23 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 6401 University Ave Ne |
|---|---|
| City | Fridley |
| State | Minnesota (MN) |
| Post Code | 554324341 |
| Phone Number | 7635725710 |
| Fax Number | 7635713008 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic Pharmacy |
|---|---|
| Taxonomy | 3336C0002X |
| Licence No | 262454-9 |
|
Definition: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10118513 | MN | IPC NUMBER | |
| 76751 | MN | ANDA | |
| 831146 | MN | MCKESSON | |
| 2426220 | MN | NABP NUMBER | |
| 02071BR | MN | BCBS DME NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Columbia Park Medical Group, Pa?
The Columbia Park Medical Group, Pa has been issued the NPI (National Provider Identifier) 1649370396 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Columbia Park Medical Group, Pa located?
The Columbia Park Medical Group, Pa is located at 6401 University Ave Ne, Fridley, MN 554324341.
What is the area of specialization for Columbia Park Medical Group, Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Columbia Park Medical Group, Pa is Clinic Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 3336C0002X.
On what date was the 1649370396 assigned to Columbia Park Medical Group, Pa?
The Columbia Park Medical Group, Pa was issued its 1649370396 on 2006-09-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Columbia Park Medical Group, Pa last refreshed?
The information related to the Columbia Park Medical Group, Pa, including its address, specialty, and other relevant details, was last updated on 2023-03-07.
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