Organization
SNYDER DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI ROBINSON PHARMD (DIRECTOR OF PHCY OPS)
(952) 936-2404
Entity
Organization
Contact information
Practice address
4151 FREMONT AVE N, MINNEAPOLIS, MN 55412-1626
(612) 522-3634
Mailing address
4151 FREMONT AVE N, MINNEAPOLIS, MN 55412-1626
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
262950
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2427993
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/16/2007
Last updated
08/22/2020
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