Organization
SNYDERS DRUG
Active
Other names
SNYDER DRUG EMPORIUM
Organization subpart
No
Provider details
NPI number
Authorized official
JODI RISTAU (DIRECTOR)
(952) 936-2404
Entity
Organization
Contact information
Practice address
4132 LANCASTER LN N, PLYMOUTH, MN 55441-1707
(763) 559-1704
(763) 519-1357
Mailing address
14525 HIGHWAY 7, MINNETONKA, MN 55345-3734
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2618157
MN
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2413982
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
9105620 00
—
MN
05
—
910562000
—
MN
Enumeration date
10/03/2006
Last updated
08/06/2008
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