Organization
GOODRICH PHARMACY INC
Active
Other names
GOODRICH PHARMACY ST FRANCIS
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE SIMENSON PHARMD (CEO)
(763) 421-5540
Entity
Organization
Contact information
Practice address
23122 SAINT FRANCIS BLVD NW, SAINT FRANCIS, MN 55070-9807
(763) 753-0222
(763) 753-3994
Mailing address
2621 GREENHAVEN RD STE 1, ANOKA, MN 55303-5566
(763) 753-0222
(763) 753-3994
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
262083
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181617900
—
MN
01
—
2048253
PK
—
01
—
265084
MN BOARD OF PHARMACY
MN
Enumeration date
08/10/2006
Last updated
07/06/2023
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