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Organization

SNYDERS DRUG STORES INC

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
8925 PENN AVE S, BLOOMINGTON, MN 55431-2024
(952) 888-8811
(952) 881-1912
Mailing address
14525 HIGHWAY 7, MINNETONKA, MN 55345-3734

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
2618076
MN
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2416560
OTHER ID NUMBER-COMMERCIAL NUMBER
05
6507620 00
MN
05
650762000
MN
Enumeration date
10/03/2006
Last updated
11/24/2008
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