COLUMBIA PARK MEDICAL GROUP, PA
13819 Hanson Blvd Nw Suite 100
Andover, MN 55304
763-862-4445
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | MN | 261566-8 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NABP NUMBER | 24-22917 | MN | OTHER |
PHARMACY DEA NUMBER | BC6117938 | MN | OTHER |
IPC NUMBER | 10016952 | MN | OTHER |
ANDA | 306066 | MN | OTHER |
BCBS DME NUMBER | 45Q12CO | MN | OTHER |
MCKESSON | 314420 | MN | OTHER |