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General NPI Number Information
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NPI Number | 1134213531
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Entity Type | Organization
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Legal Business Name | SNYDERS DRUG
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/07/2008
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Provider Practice Location Address
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Address Line | 400 MAIN ST
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City | COLD SPRING
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State | MN
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Zip | 56320-2324
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Country | US
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Telephone | 320-685-3471
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Fax | 320-685-4346
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Provider Business Mailing Address
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Address Line | 14525 HIGHWAY 7
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City | MINNETONKA
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State | MN
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Zip | 55345-3734
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JODI RISTAU
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Credential |
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Telephone | 952-936-2404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 2619282
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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