Organization · Type 2 NPI

Goodrich Pharmacy, Inc.

Clinic Pharmacy · Elk River, MN

NPI number 1174635171 Active

Practice location

530 3rd St NW
Elk River, MN 55330-1445

Call (763) 441-0764 Map

Fax (763) 587-4897

Mailing address

2621 Greenhaven Rd Ste 1
Anoka, MN 55303-5566

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Clinic Pharmacy Primary	3336C0002X	265080 (MN)
Community/Retail Pharmacy	3336C0003X	None listed

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

30 other providers at this address

NPI record

NPI: 1174635171
Entity type: Organization (Type 2)
Issued: Aug 31, 2006
Last updated: Jul 6, 2023
Status: Active

Other names

<unavail>
Goodrich Pharmacy Elk River · doing business as
Goodrich Pharmacy Elk River · doing business as

Authorized official

Stephanie Marie Davis
Owner
(763) 421-5540

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174635171

Goodrich Pharmacy, Inc.'s National Provider Identifier is 1174635171, issued on Aug 31, 2006. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Elk River, MN. The record was last updated on Jul 6, 2023.