Organization
GOODRICH PHARMACY, INC.
Active
Parent organization
GOODRICH PHARMACY, INC.
Other names
Goodrich Pharmacy LTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOODRICH PHARMACY, INC.
Authorized official
CORY MIDDENDORF (PHARMACIST IN CHARGE)
(763) 421-5540
Entity
Organization
Contact information
Practice address
2321 7TH AVE, ANOKA, MN 55303-1790
(763) 421-5540
Mailing address
2621 GREENHAVEN RD STE 1, ANOKA, MN 55303-5566
(763) 421-5540
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
571358700
—
MN
Enumeration date
03/18/2021
Last updated
07/06/2023
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