Organization
BROOKPARK MARKETS LLC
Active
Other names
ZOSS DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY ZOSS (PIC)
(952) 938-5347
Entity
Organization
Contact information
Practice address
14400 EXCELSIOR BLVD, MINNETONKA, MN 55345-5820
(952) 938-5347
(952) 746-5309
Mailing address
14400 EXCELSIOR BLVD, MINNETONKA, MN 55345-5820
(952) 938-5347
(952) 746-5309
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
262673
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2427070
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
721977600
—
MN
Enumeration date
10/20/2006
Last updated
09/14/2009
Update your record
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