Organization
PRAIRIESTONE PHARMACY LLC
Active
Parent organization
ARCADIA RESOURCES INC
Other names
DAILYMED PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARCADIA RESOURCES INC
Authorized official
MATTHEW MIDDENDORF (CFO, SECRETARY, TREASURER)
(317) 569-8234
Entity
Organization
Contact information
Practice address
9995 W 69TH ST, STE 102, EDEN PRAIRIE, MN 55344-3457
(952) 656-5095
(952) 656-5096
Mailing address
PO BOX 9830, SALT LAKE CITY, UT 84109-9830
(800) 973-1955
(317) 575-6195
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
262983
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
778630000
—
MN
Enumeration date
03/07/2007
Last updated
07/01/2011
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