Organization
NORTH MEMORIAL PHARMACY MAPLE GROVE
Active
Parent organization
NORTH MEMORIAL MEDICAL CENTER
Other names
North Memorial Health Pharmacy - Maple Grove
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH MEMORIAL MEDICAL CENTER
Authorized official
STEPHANIE R GALE (INTERIM CFO)
(763) 581-4635
Entity
Organization
Contact information
Practice address
9825 HOSPITAL DRIVE, SUITE 100, MAPLE GROVE, MN 55369-4479
(763) 581-9200
(733) 581-9205
Mailing address
9825 HOSPITAL DRIVE, SUITE 100, MAPLE GROVE, MN 55369-4479
(763) 581-9200
(763) 581-9205
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
263560
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263560
STATE LICENSE
MN
Enumeration date
10/25/2010
Last updated
12/30/2024
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