Organization
SNYDERS DRUG
Active
Other names
SNYDER DRUG EMPROIUM
Organization subpart
No
Provider details
NPI number
Authorized official
JODI RISTAU (DIRECTOR)
(952) 936-2404
Entity
Organization
Contact information
Practice address
1205 SOUTHVIEW BLVD, SOUTH SAINT PAUL, MN 55075-2246
(651) 451-6440
(651) 306-9323
Mailing address
14525 HIGHWAY 7, MINNETONKA, MN 55345-3734
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2617653
MN
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2125595 00
—
MN
05
—
212559500
—
MN
01
—
2400428
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/03/2006
Last updated
08/06/2008
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