Organization
SNYDERS DRUG STORE INC
Active
Other names
SNYDER DRUG EMPORIUM
Organization subpart
No
Provider details
NPI number
Authorized official
JODI RISTAU (DIRECTOR)
(952) 936-2404
Entity
Organization
Contact information
Practice address
1037 HIGHWAY 96 W, SHOREVIEW, MN 55126-1914
(651) 483-3823
(651) 765-1956
Mailing address
14525 HIGHWAY 7, MINNETONKA, MN 55345-3734
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2617983
MN
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1907620 00
—
MN
05
—
190762000
—
MN
01
—
2414833
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/03/2006
Last updated
11/24/2008
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