Organization
STORCHAK PHARMACY, LLC
Active
Other names
PharmaLife Minnesota
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY DAVID ZOSS RPH. (PHARMACIST IN CHARGE)
(612) 354-3400
Entity
Organization
Contact information
Practice address
1200 NICOLLET MALL, MPLS, MN 55403
(612) 354-3400
(612) 677-3330
Mailing address
1200 NICOLLET MALL, MPLS., MN 55403
(612) 354-3400
(612) 677-3330
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
263333
MN
3336L0003X
Long Term Care Pharmacy
263333
MN
3336S0011X
Specialty Pharmacy
263333
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263333
MINNESOTTA PHARMACY LICENSE
MN
Enumeration date
02/20/2009
Last updated
09/19/2013
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