COLUMBIA PARK MEDICAL GROUP, PA
10000 Zane Ave N Suite 100
Brooklyn Park, MN 55443
763-569-6281
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | MN | 262454-9 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
MCKESSON | 831146 | MN | OTHER |
PHARMACY DEA NUMBER | BC8926404 | MN | OTHER |
NABP NUMBER | 2426220 | MN | OTHER |
BCBS DME NUMBER | 02071BR | MN | OTHER |
ANDA | 076751 | MN | OTHER |
IPC NUMBER | 10118513 | MN | OTHER |