Organization
GUARDIAN PHARMACY SVC LLC
Active
Other names
GUARDIAN PHARMACY SERVICES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY EDWARDS (PRESIDENT)
(952) 351-4100
Entity
Organization
Contact information
Practice address
9703 VALLEY VIEW RD, EDEN PRAIRIE, MN 55344-3508
(952) 351-4100
(952) 351-4102
Mailing address
9703 VALLEY VIEW RD, EDEN PRAIRIE, MN 55344-3508
(952) 351-4100
(952) 351-4102
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
2624015
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2425898
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
941422300
—
MN
Enumeration date
06/13/2006
Last updated
06/16/2010
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