St Peter Pharmacy Llc in New Brighton - Compounding Pharmacy

St Peter Pharmacy Llc - NPI 1871690974

St Peter Pharmacy Llc is a Compounding Pharmacy in New Brighton, Minnesota. St Peter Pharmacy Llc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for St Peter Pharmacy Llc is 1871690974. The last update date is 2017-05-01.

St Peter Pharmacy Llc's current location address is 1801 Old Highway 8 Nw Ste 121, New Brighton, Minnesota. You can contact this provider via phone number 6517887346 and fax number 6513401294. The mailing address for St Peter Pharmacy Llc is 1801 Old Highway 8 Nw Ste 121, New Brighton, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization St Peter Pharmacy Llc
Address 1801 Old Highway 8 Nw Ste 121, New Brighton, Minnesota
Phone Number 6517887346
Fax Number 6513401294
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PARTNER
Authorized Official Name Lyman Cassandra
Telephone Number 6517887346

NPI Number Detail

NPI Number 1871690974
Provider Enumeration Date 2006-09-20
Last Updated Date 2017-05-01

Provider Mailing Address Detail

Address 1801 Old Highway 8 Nw Ste 121
City New Brighton
State Minnesota (MN)
Post Code 551122307
Phone Number 6517887346
Fax Number 6513401294

Provider's Primary Taxonomy Detail

Speciality Compounding Pharmacy
Taxonomy 3336C0004X
Licence No 263914
Definition:
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 pract

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2121976 PK
35858400 MN --

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FAQs about St Peter Pharmacy Llc

What is the unique 10-digit identification code issued to St Peter Pharmacy Llc by the Centers for Medicare & Medicaid Services?

The St Peter Pharmacy Llc has been assigned the NPI (National Provider Identifier) 1871690974 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where St Peter Pharmacy Llc is physically located?

The St Peter Pharmacy Llc is situated at the following address: 1801 Old Highway 8 Nw Ste 121, New Brighton, MN 551122307.

What is St Peter Pharmacy Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for St Peter Pharmacy Llc is Compounding Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 3336C0004X.

When did St Peter Pharmacy Llc receive its 1871690974 assignment?

The St Peter Pharmacy Llc was assigned its 1871690974 on 2006-09-20, which is the date when this unique identifier was issued to the organization.

When was the information related to St Peter Pharmacy Llc most recently updated or refreshed?

The details pertaining to the St Peter Pharmacy Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-05-01.

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