Organization
PRAIRIECARE LLC
Active
Parent organization
PRAIRIECARE LLC
Other names
PrairieCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRAIRIECARE LLC
Authorized official
JOHN EGAN RYAN JD (GENERAL COUNSEL)
(763) 762-6802
Entity
Organization
Contact information
Practice address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
(763) 762-8800
(763) 315-4469
Mailing address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
(763) 762-8800
(763) 315-4469
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
264804
MN
Other
Enumeration date
11/03/2017
Last updated
04/16/2021
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