Organization
NORTHSIDE COMMUNITY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YANG XIONG PHARMD (PHARMACIST-IN-CHARGE/OWNER)
(612) 345-7842
Entity
Organization
Contact information
Practice address
1501 LOWRY AVE N, MINNEAPOLIS, MN 55411-1260
(612) 345-7842
(612) 353-6458
Mailing address
1501 LOWRY AVE N, MINNEAPOLIS, MN 55411-1260
(612) 345-7842
(612) 353-6458
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
264120
MN
Other
Enumeration date
05/22/2013
Last updated
08/21/2014
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