COLUMBIA PARK MEDICAL GROUP, PA
4000 Central Ave Ne
Columbia Heights, MN 55421
763-572-5710
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | MN | 261734-9 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PHARMACY DEA # | BC6494772 | MN | OTHER |
ANDA # | 23953 | MN | OTHER |
BCBS DME NUMBER | 02991CO | MN | OTHER |
IPC NUMBER | 10039288 | MN | OTHER |
NABP | 24-23387 | MN | OTHER |
MCKESSON | 895065 | MN | OTHER |