Organization
ST CROIX DRUG COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS M SHEEHY (PRESIDENT / OWNER)
(952) 920-0460
Entity
Organization
Contact information
Practice address
4820 PARK GLEN RD, ST LOUIS PARK, MN 55416-5702
(952) 920-0460
(952) 920-0480
Mailing address
4820 PARK GLEN RD, ST LOUIS PARK, MN 55416-5702
(952) 920-0460
(952) 920-0480
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
8783612
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-00474
MEDICA
MN
Enumeration date
01/07/2009
Last updated
01/07/2009
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