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
16508 W 78TH ST, EDEN PRAIRIE, MN 55346-4302
(952) 937-9100
(952) 934-1710
Mailing address
14525 HIGHWAY 7, MINNETONKA, MN 55345-3734
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2617941
MN
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2415885
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
3673570 00
—
MN
05
—
367357000
—
MN
Enumeration date
10/03/2006
Last updated
08/07/2008
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