Organization
ST PETER PHARMACY LLC
Active
Other names
Falcon Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA LYMAN (PARTNER)
(651) 788-7346
Entity
Organization
Contact information
Practice address
1801 OLD HIGHWAY 8 NW STE 121, NEW BRIGHTON, MN 55112-2307
(651) 788-7346
(651) 340-1294
Mailing address
1801 OLD HIGHWAY 8 NW STE 121, NEW BRIGHTON, MN 55112-2307
(651) 788-7346
(651) 340-1294
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
263914
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035858400
—
MN
01
—
2121976
PK
—
Enumeration date
09/20/2006
Last updated
05/01/2017
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