Organization
LAB DRUGS & MEDICAL-TRANS-SUPPLIES LLC
Active
Other names
POLAR PHARMACY & MEDICAL SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
LOLA ISHOLA (PHARMACIST/OWNER)
(763) 777-5995
Entity
Organization
Contact information
Practice address
365 UNIVERSITY AVE W, SAINT PAUL, MN 55103-2018
(763) 777-5995
(763) 777-5974
Mailing address
365 UNIVERSITY AVE W, SAINT PAUL, MN 55103-2018
(763) 777-5995
(763) 777-5974
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
264105
MN
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138715
PK
—
05
—
610459
—
MN
Enumeration date
01/25/2013
Last updated
09/21/2016
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