MEDICARE: SNYDERS DRUG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	2617886	MN
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2409642	OTHER	OTHER ID NUMBER-COMMERCIAL NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699869099
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SNYDERS DRUG

Provider Business Mailing Address
First Line	:	14525 HIGHWAY 7
Second Line	:
City	:	MINNETONKA
State	:	MN
Zip	:	55345-3734
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 HIGHWAY 10 NE
Second Line	:
City	:	MOUNDS VIEW
State	:	MN
Zip	:	55112-4031
Country	:	US
Telephone Number	:	763-786-1401
Fax Number	:	763-786-2401

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JODI RISTAU
Credential	:
Telephone Number	:	952-936-2404

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	08/06/2008

Similar Medicare Providers

1831490382 — MRS. HOPE DIANE LIEN BD
Practice Location Address:

4031 BETHEL DR , APT.#31
SAINT PAUL, MN
55112-6951

Practice Phone: 651-398-0775
Practice Fax:

1134459399 — SUSANA CABADA PHARMACY TECHNICIAN
Practice Location Address:

4031 MARINE VIEW AVE.
SAN DIEGO, CA
92113

Practice Phone: 619-215-3021
Practice Fax:

1003490681 — BRANDON DESEAN NEWKIRK QMHA
Practice Location Address:

4200 S VALLEY VIEW BLVD UNIT 1035J
LAS VEGAS, NV
89103-4031

Practice Phone: 910-747-7179
Practice Fax:

1750387551 — CHRIS LARSON D.C.
Practice Location Address:

2220 COUNTY HIGHWAY 10
MOUNDS VIEW, MN
55112

Practice Phone: 763-398-7770
Practice Fax: 763-398-7771

1598756124 — DR. FRANKLIN JAMES STEEN DDS
Practice Location Address:

2442 MOUNDS VIEW BLVD
SAINT PAUL, MN
55112-1478

Practice Phone: 763-316-5400
Practice Fax: 651-644-4499

1760497994 — WALGREEN CO
Practice Location Address:

2387 MOUNDS VIEW BLVD
MOUNDS VIEW, MN
55112-4967

Practice Phone: 763-784-8925
Practice Fax:

Directions to “SNYDERS DRUG ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.