Banadir Pharmacy

LBN: Banadir Pharmacy Llc
Banadir Pharmacy is an health care organization with primary practice located at 1 W Lake St Ste 195 , Minneapolis MN 55408-3362. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Banadir Pharmacy Llc can be contacted via phone (612) 825-1669, or through Kosar, Edris via phone (267) 575-1293.

Contact Information

Primary practice address
1 W Lake St Ste 195 Minneapolis MN 55408-3362
Phone: (612) 825-1669
Fax: (612) 825-1667
Website:
Map and Directions
Authorized official contact:
Name: Kosar, Edris
Phone: (267) 575-1293

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 263804 Minnesota
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1487923488
LBN Legal business name Banadir Pharmacy Llc
DBA Doing business as Banadir Pharmacy
Authorized official Kosar, Edris
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2011
Last updated May 1st, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487923488 NPPES
Other 2133164 PK

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