Guardian Pharmacy Of Minnesota Llc, NPI 1568732709
Long Term Care Pharmacy in Sauk Rapids, MN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1568732709
NPI Entity Type Organization
Provider Name Guardian Pharmacy Of Minnesota Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 940 Industrial Dr S, Suite 102, Sauk Rapids, MN, US
Provider Mailing Address Dept # 2410 Guardian Pharmacy Of Minnesota, P.o. Box 11407, Birmingham, AL, US, 352460001
Is Sole Proprietor? No
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Organization Official

Official Name Mark Boe
Official Position PRESIDENT
Phone 320-257-8758

Primary Taxonomy

Taxonomy Code

3336L0003X

Taxonomy Name Long Term Care Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 263805
License State MN
Description A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Other Organization Name

Guardian Pharmacy of Minnesota
Doing Business As

Business Address

Guardian Pharmacy Of Minnesota Llc
940 Industrial Dr S
Suite 102

Sauk Rapids, MN, US

Phone: 320-230-1050
Fax: 320-230-1051

Mailing Address

Guardian Pharmacy Of Minnesota Llc
Dept # 2410 Guardian Pharmacy Of Minnesota
P.o. Box 11407
Birmingham, AL, US
ZIP 352460001
Phone: 404-810-0089
Fax: 404-810-0094

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

333600000X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1568732709 MN MEDICAID 05
2132903 PK 01

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