Organization
NEW PRAGUE SNYDERS INC
Active
Other names
MCMAHON SNYDER DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH CLORK RPH (PRESIDENT)
(952) 758-3132
Entity
Organization
Contact information
Practice address
130 MAIN ST W, NEW PRAGUE, MN 56071-2334
(952) 758-3132
(612) 758-8754
Mailing address
130 MAIN ST W, NEW PRAGUE, MN 56071-2334
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
260750
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2419489
OTHER ID NUMBER
—
Enumeration date
10/02/2006
Last updated
09/13/2007
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