Organization
FIRST CHOICE PHARMACY OF JORDAN PC
Active
Organization
FIRST CHOICE PHARMACY OF JORDAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL REINHARDT (OWNER AND PHARM)
(952) 855-4381
Entity
Organization
Contact information
Practice address
165 WEST COMMERCE DRIVE, SUITE 110, BELLE PLAINE, MN 56011
(952) 855-4381
(952) 855-4015
Mailing address
165 WEST COMMERCE DRIVE, SUITE 110, BELLE PLAINE, MN 56011
(952) 855-4381
(952) 855-4015
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
265308
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568903532
—
MN
01
—
2167656
PK
—
Enumeration date
03/10/2017
Last updated
06/09/2017
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