Organization
ARDEN PHARMACY & GIFT
Active
Other names
ARDEN PHARMACY & GIFT
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD JOHNSON RPH (PRES)
(651) 645-8636
Entity
Organization
Contact information
Practice address
3529 LEXINGTON AVE N, ARDEN HILLS, MN 55126-8017
(651) 482-1250
(651) 482-0710
Mailing address
3529 LEXINGTON AVE N, ARDEN HILLS, MN 55126-8017
(651) 482-1250
(651) 482-0710
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
205474
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2413932
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
725557800A
—
MN
Enumeration date
11/16/2006
Last updated
03/03/2011
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