Organization · Type 2 NPI

Goodrich Pharmacy Inc

Community/Retail Pharmacy · Andover, MN

NPI number 1619089612 Active

Practice location

15245 Bluebird St NW, Ste B
Andover, MN 55304

Call (763) 434-1901 Map

Fax (763) 587-4694

Mailing address

2621 Greenhaven Rd Ste 1
Anoka, MN 55303-5566

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	265079 (MN)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

36 other providers at this address

Other community/retail pharmacy providers in Andover

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NPI record

NPI: 1619089612
Entity type: Organization (Type 2)
Issued: Aug 31, 2006
Last updated: Jul 6, 2023
Status: Active

Other names

<unavail>
Goodrich Pharmacy Andover · doing business as
Goodrich Pharmacy Andover · doing business as

Authorized official

Scott Michael Benson
President.
(763) 434-1901

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 1619089612

Goodrich Pharmacy Inc's National Provider Identifier is 1619089612, issued on Aug 31, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Andover, MN. The record was last updated on Jul 6, 2023.