Healthcare Provider Details
I. General information
NPI: 1629364773
Provider Name (Legal Business Name): PRESCRIPTION SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/27/2011
Last Update Date: 06/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9900 BREN RD E EMERGING BUSINESSES GROUP
MINNETONKA MN
55343-9664
US
IV. Provider business mailing address
9900 BREN RD E EMERGING BUSINESSES GROUP
MINNETONKA MN
55343-9664
US
V. Phone/Fax
- Phone: 952-936-3084
- Fax: 952-936-1661
- Phone: 952-936-3084
- Fax: 952-936-1661
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332S00000X |
| Taxonomy | Hearing Aid Equipment |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LARS
PETER
NIELSEN
Title or Position: DIRECTOR
Credential:
Phone: 952-936-3084