Organization
GROUP HEALTH PLAN, INC.
Active
Other names
Park Nicollet Pharmacy #87017
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BUSCH (VP PHARMACY OPERATIONS)
(952) 967-6876
Entity
Organization
Contact information
Practice address
3800 PARK NICOLLET BLVD STE 1170, ST LOUIS PARK, MN 55416-2527
(952) 977-3050
(952) 883-9747
Mailing address
MSC 21111B PO BOX 1309, MINNEAPOLIS, MN 55440
(952) 967-6876
(952) 967-6667
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155438300
—
MN
Enumeration date
12/13/2016
Last updated
06/08/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us