Healthcare Provider Details

I. General information

NPI: 1740116698
Provider Name (Legal Business Name): NORTH MEMORIAL HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3435 W BROADWAY AVE STE 1135
ROBBINSDALE MN
55422-2974
US

IV. Provider business mailing address

3300 OAKDALE AVE N
ROBBINSDALE MN
55422-2900
US

V. Phone/Fax

Practice location:
  • Phone: 763-581-2815
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE RENEE GALE
Title or Position: CFO
Credential:
Phone: 763-581-4635