Organization
GOODRICH PHARMACY FRIDLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT MICHAEL BENSON RPH (OWNER)
(763) 717-0222
Entity
Organization
Contact information
Practice address
480 OSBORNE RD SUITE 180, FRIDLEY, MN 55432
(763) 780-0222
(763) 208-1545
Mailing address
480 OSBORNE RD SUITE 180, FRIDLEY, MN 55432
(763) 717-0222
(763) 208-1545
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
263598
MN
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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