Organization
SP SERVICES
Active
Other names
Spring Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
POUMIL PATEL (PRESIDENT)
(952) 471-3784
Entity
Organization
Contact information
Practice address
4689 SHORELINE DRIVE, SUITE 100, SPRING PARK, MN 55384
(952) 955-2153
(952) 471-1212
Mailing address
4689 SHORELINE DR STE 100, SPRING PARK, MN 55384-9715
(952) 471-3784
(952) 471-1212
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164770756
—
MN
Enumeration date
08/29/2012
Last updated
07/15/2026
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.
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