Organization
D.W.KOSKI,INC.
Active
Other names
Medicine Shoppe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL WILLIAM KOSKI R.PH. (PRESIDENT)
(651) 455-6873
Entity
Organization
Contact information
Practice address
750 MAIN ST, SUITE 103, MENDOTA HEIGHTS, MN 55118-3764
(651) 455-6873
(651) 451-7997
Mailing address
750 MAIN ST, SUITE 103, MENDOTA HEIGHTS, MN 55118-3764
(651) 455-6873
(651) 451-7997
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2612218
MN
3336C0003X
Community/Retail Pharmacy
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2421460
NCPDP NUMBER
MN
05
—
693516800
—
MN
Enumeration date
10/21/2005
Last updated
03/07/2023
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