Organization
BIOSCRIP PHARMACY, INC.
Active
Other names
BioScrip Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MELANCON (VICE PRESIDENT)
(917) 449-6939
Entity
Organization
Contact information
Practice address
2100 LYNDALE AVE S, SUITE A, MINNEAPOLIS, MN 55405-3686
(612) 872-7808
Mailing address
10050 CROSSTOWN CIR, STE 300, EDEN PRAIRIE, MN 55344-3374
(800) 753-5995
(952) 352-6698
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2621047
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0720193
—
IA
05
—
21487
—
ND
05
—
2383979
—
OH
05
—
33282100
—
WI
05
—
366237300
—
MN
Enumeration date
05/24/2005
Last updated
02/27/2012
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