Organization
SPPS LLC L L C
Active
Other names
ProRX Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON VANHULLE (ADMINISTRATIVE ASSISTANT)
(920) 834-4455
Entity
Organization
Contact information
Practice address
621 MARIE AVE, SOUTH SAINT PAUL, MN 55075-2039
(651) 457-2725
(651) 457-2734
Mailing address
621 MARIE AVE, SOUTH SAINT PAUL, MN 55075-2039
(651) 457-2725
(651) 457-2734
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
265170
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750833653
—
MN
01
—
2165854
PK
—
Enumeration date
10/27/2016
Last updated
09/19/2025
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