Unknown Individual – Pharmacist, NPI 1972688232
Pharmacist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
12240, 101st Avenue North, Maple Grove, Hennepin County, Minnesota, 55369, United States
MAPLE GROVE, MN 55369
Phone: (763) 493-5242
Fax: (763) 493-2621
Type: Mailing
24, 3rd Street Northeast, Osseo, Hennepin County, Minnesota, 55369, United States
MAIN STREET PHARMACY
OSSEO, MN 55369
Phone: (763) 493-5242
Fax: (763) 493-2621
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55369)
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