Organization
LAB DRUGS & MEDICAL -TRANS-SUPPLIES LLC
Active
Other names
Polar Pharmacy & Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
LOLA ISHOLA (OWNER/PHARMACIST-IN-CHARGE)
(763) 777-5995
Entity
Organization
Contact information
Practice address
8561 EDINBURGH CENTER DR, BROOKLYN PARK, MN 55443-3724
(763) 777-5995
(763) 777-5974
Mailing address
8561 EDINBURGH CENTER DR, BROOKLYN PARK, MN 55443-3724
(763) 777-5995
(763) 777-5974
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
263458
MN
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
263458
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801126214
—
MN
01
—
2429959
NCPDP PROVIDER IDENTIFICATION NUMBER
—
01
—
263458
PHARMACY LICENSE
MN
01
—
730000092
MASS IMMUIZATION PTAN
—
Enumeration date
01/06/2010
Last updated
06/03/2015
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