Waconia Pharmacy Inc

NPI 1568785640 - Pharmacy - 333600000X

NPI Details
NPI 1568785640
Enumeration Date 03/03/2010
Last Updated 03/03/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JOHN CHARLES JOHN
Position OWNER
Phone (952) 467-2100
Fax (952) 467-2489
Practice Location
402 FAXON RD N
NORWOOD MN, 55368-9507, US
Phone (952) 467-2100
Fax (952) 467-2489
Business Location
402 FAXON RD N
P.O. BOX 600
NORWOOD MN, 55368-9507, US
Phone (952) 467-2100
Fax (952) 467-2489
Toxanomy
Taxonomy Code 333600000X
License State
License Number
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According to our database, Waconia Pharmacy Inc NPI is 1568785640, taxonomy code is 333600000X Waconia Pharmacy Inc physically located at 402 Faxon Rd N, Norwood MN, 55368-9507. NPI Number 1033115704 has the healthcare provider type.

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1568785640 NPI number is provided on an as is basis without warranty of any kind. 1568785640 is maintained by the National Plan & Provider Enumeration System. The contents of Waconia Pharmacy Inc are for informational purposes only.