Organization
LAKE ELMO PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS R RICH PHARMD (PHARMACIST)
(651) 773-0889
Entity
Organization
Contact information
Practice address
11240 STILLWATER BLVD N, LAKE ELMO, MN 55042-9640
(651) 773-0889
Mailing address
11240 STILLWATER BLVD N, LAKE ELMO, MN 55042-9640
(651) 773-0889
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2611044
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2419275
NABP NUMBER
MN
Enumeration date
02/22/2007
Last updated
08/22/2020
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