Deephaven Phcy Inc in Wayzata - Community/retail Pharmacy
Deephaven Phcy Inc - NPI 1043439359
Deephaven Phcy Inc is a Community/retail Pharmacy in Wayzata, Minnesota. Deephaven Phcy Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Deephaven Phcy Inc is 1043439359. The last update date is 2007-09-12.
Deephaven Phcy Inc's current location address is 3428 County Road 101 S, Wayzata, Minnesota. You can contact this provider via phone number 9524734100. The mailing address for Deephaven Phcy Inc is 3428 County Road 101 S, Wayzata, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Deephaven Phcy Inc |
|---|---|
| Address | 3428 County Road 101 S, Wayzata, Minnesota |
| Phone Number | 9524734100 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRES |
|---|---|
| Authorized Official Name | Larson Mark |
| Telephone Number | 9524734100 |
NPI Number Detail
| NPI Number | 1043439359 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2007-09-12 |
Provider Mailing Address Detail
| Address | 3428 County Road 101 S |
|---|---|
| City | Wayzata |
| State | Minnesota (MN) |
| Post Code | 553913421 |
| Phone Number | 9524734100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 2617598 |
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Definition: 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 pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2401634 | OTHER ID NUMBER | ||
| 2401634 | OTHER ID NUMBER-COMMERCIAL NUM |
Post Comment/ Review Below
What is the unique identification code assigned to Deephaven Phcy Inc by the Centers for Medicare & Medicaid Services?
The Deephaven Phcy Inc has been issued the NPI (National Provider Identifier) 1043439359. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Deephaven Phcy Inc's facilities are geographically located?
The facilities of Deephaven Phcy Inc are physically situated at the following location: 3428 County Road 101 S, Wayzata, MN, 553913421.
What is the Deephaven Phcy Inc's area of specialization and corresponding taxonomy classification?
The Deephaven Phcy Inc's specialty field is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their specialties.
On what date was the 1043439359 assigned to Deephaven Phcy Inc?
The Deephaven Phcy Inc was issued its 1043439359 on 2007-04-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Deephaven Phcy Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Deephaven Phcy Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-09-12.