PARK NICOLLET HEALTH CARE PRODUCTS
Medical Equipment Supplier Yellow Pages
Wayzata, Minnesota
Provider NPI: 1285713594
Organization Information:Organization Name: PARK NICOLLET HEALTH CARE PRODUCTS
Practice Location:
250 CENTRAL AVE N WAYZATA, MN 55391 US
Tel: 952-993-8250 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
250 CENTRAL AVE N WAYZATA, MN 55391 US
Tel: 952-993-8250 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0002X | Suppliers Pharmacy Clinic Pharmacy | MN | |
Y | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 2419162 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin