Healthcare Provider Details

I. General information

NPI: 1740116789
Provider Name (Legal Business Name): BLOOMINGTON DRUG CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 W 98TH ST
BLOOMINGTON MN
55420-4713
US

IV. Provider business mailing address

509 W 98TH ST
BLOOMINGTON MN
55420-4713
US

V. Phone/Fax

Practice location:
  • Phone: 952-884-7528
  • Fax: 952-884-6366
Mailing address:
  • Phone: 952-884-7528
  • Fax: 952-884-6366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY SCHAFFER
Title or Position: OWNER/PIC
Credential:
Phone: 612-611-9875