Healthcare Provider Details

I. General information

NPI: 1801714365
Provider Name (Legal Business Name): SP SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4689 SHORELINE DR STE 100
SPRING PARK MN
55384-9715
US

IV. Provider business mailing address

4689 SHORELINE DR STE 100
SPRING PARK MN
55384-9715
US

V. Phone/Fax

Practice location:
  • Phone: 952-471-3784
  • Fax: 952-471-1212
Mailing address:
  • Phone: 952-471-3784
  • Fax: 952-471-1212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: POUMIL PATEL
Title or Position: PRESIDENT
Credential:
Phone: 848-333-9618