Organization
GROUP HEALTH 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
8170 33RD AVE S, MAILSTOP 21110Q, BLOOMINGTON, MN 55425-4516
(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
08/10/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up