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COLUMBIA PARK MEDICAL GROUP, PA

Medical Equipment Supplier Yellow Pages

Andover, Minnesota

Provider NPI: 1417056698

Organization Information:
Organization Name:  COLUMBIA PARK MEDICAL GROUP, PA


Practice Location:
13819 HANSON BLVD NW SUITE 100 ANDOVER, MN 55304 US
Tel: 763-862-4445  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336C0002XSuppliers
Pharmacy
Clinic Pharmacy
MN261566-8

Other Provider Identifiers:

IssuerNumberStateType
NABP NUMBER24-22917MN01
PHARMACY DEA NUMBERBC6117938MN01
IPC NUMBER10016952MN01
ANDA306066MN01
BCBS DME NUMBER45Q12COMN01
MCKESSON314420MN01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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