Organization
RICH APOTHECARY INC
Active
Other names
LAKE ELMO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS RICH PHRMD (PIC)
(651) 773-0889
Entity
Organization
Contact information
Practice address
11240 STILLWATER BLVD N, LAKE ELMO, MN 55042-9321
(651) 773-0889
(651) 773-9449
Mailing address
11240 STILLWATER BLVD N, LAKE ELMO, MN 55042-9321
(651) 773-0889
(651) 773-9449
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
263101
MN
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2049334
PK
—
Enumeration date
11/13/2007
Last updated
09/19/2025
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