WACONIA PHARMACY


Address: 430 Highway 5 West, Waconia, MN 55387-1795
Phone: 9524423274

WACONIA PHARMACY (NPI# 1407931553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407931553
Entity Type Organization
Organization Name WACONIA PHARMACY
Practice Address 430 Highway 5 West
Waconia
MN 55387-1795
Practice Telephone 9524423274
Practice Fax Number 9524423284
Mailing Telephone 9524423274
Mailing Fax Number 9524423284
Enumeration Date 2006-10-26
Last Update Date 2020-08-22
Authorized Official Name JOHN MARSDEN (OWNER)
Authorized Official Telephone 9524423274
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
262330-4 MN Suppliers

Office Location

Street Address 430 HIGHWAY 5 WEST
City WACONIA
State MN
Zip Code 55387-1795

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1942638481 Katie Elizabeth Leuning-pavek Marriage & Family Therapist 1657 Interlaken Ct, Waconia, MN 55387 2013-10-18
1083964837 Auburn Meadows, LLC Assisted Living Facility 591 S. Cherry Dr, Waconia, MN 55387 2012-09-19
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1194990143 Walgreen Co Durable Medical Equipment & Medical Supplies 121 Depot Dr, Waconia, MN 55387 2008-04-29
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1366507436 Waconia School District Local Education Agency (LEA) 512 Industrial Blvd, Waconia, MN 55387 2006-12-27
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Taxonomy Information

Taxonomy Code 3336C0002X
Grouping Suppliers
Classification Pharmacy
Specialization Clinic Pharmacy

Taxonomy Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and state

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1760792691 Goodrich Pharmacy Fridley Pharmacy 480 Osborne Rd Suite 180, Fridley, MN 55432 2010-10-13
1770719585 Fairview Pharmacy Services LLC Pharmacy 14712 Victor Hugo Blvd N Ste 10, Hugo, MN 55038-6324 2009-06-08
1548400849 Moka Pharmacy Inc Pharmacy 1515 E Franklin Ave, Minneapolis, MN 55404-2137 2009-02-26
1902012107 Metro Treatment of Minnesota, Lp Pharmacy 14 E Central Entrance, Suite B, Duluth, MN 55811-5508 2007-05-15
1790909083 Aitkin Community Hospital Inc. Pharmacy 27278 State Hwy 18, Garrison, MN 56450 2007-04-11
1437203882 Shakopee Mdewakanton Sioux Comm Phcy Pharmacy 15045 Mystic Lake Dr Nw, Prior Lake, MN 55372-9011 2007-01-23
1548365406 Mayo Foundation for Medical Education & Research Pharmacy 201 Center St W, Ste Lo92, Rochester, MN 55902-3003 2006-09-14
1407951353 Mayo Foundation for Medical Education & Research Pharmacy 221 4th Ave Sw Ste 1116, Rochester, MN 55902-3110 2006-09-14
1316042260 Mayo Foundation for Medical Education & Research Pharmacy 4111 West Frontage Rd Hwy 52 Nw, Rochester, MN 55901-5919 2006-09-14
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Competitor

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City WACONIA
Zip Code 55387

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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