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
1865 W WAYZATA BLVD, LONG LAKE, MN 55356-9671
(952) 473-3569
(952) 473-9526
Mailing address
14525 HIGHWAY 7, MINNETONKA, MN 55345-3734
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2617844
MN
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2420103
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
2683601 00
—
MN
05
—
268360100
—
MN
Enumeration date
10/03/2006
Last updated
08/07/2008
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