Organization
LAKEVILLE SNYDER DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM J PETERSON (OWNER)
(952) 435-3784
Entity
Organization
Contact information
Practice address
17665 KENWOOD TRL, LAKEVILLE, MN 55044-9455
(952) 435-3784
(952) 435-2050
Mailing address
17665 KENWOOD TRL, LAKEVILLE SNYDER PHARMACY, LAKEVILLE, MN 55044-9455
(952) 435-3784
(952) 435-2050
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
260365-4
MN
Other
Enumeration date
08/04/2005
Last updated
03/07/2023
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