Organization · Type 2 NPI

Maple Grove Hospital Corporation

Community/Retail Pharmacy · Maple Grove, MN

NPI number 1770028748 Active

Practice location

9875 Hospital Dr
Maple Grove, MN 55369-4648

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed

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 …

17 other providers at this address

Other community/retail pharmacy providers in Maple Grove

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NPI record

NPI: 1770028748
Entity type: Organization (Type 2)
Issued: Dec 30, 2016
Last updated: Dec 9, 2024
Status: Active
Subpart: Yes of Maple Grove Hospital Corporation

Other names

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Maple Grove Overnight Discharge Pharmacy · doing business as

Authorized official

Stephanie R Gale
Interim CFO
(763) 581-4635

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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 1770028748

Maple Grove Hospital Corporation's National Provider Identifier is 1770028748, issued on Dec 30, 2016. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Maple Grove, MN. The record was last updated on Dec 9, 2024.