Erickson Drug Inc

LBN: Erickson Drug Inc
Erickson Drug Inc is an health care organization with primary practice located at 20751 Holyoke Ave , Lakeville MN 55044-9825. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Erickson Drug Inc can be contacted via phone (952) 469-2964, or through Koziol, Robert via phone (952) 469-2964.

Contact Information

Primary practice address
20751 Holyoke Ave Lakeville MN 55044-9825
Phone: (952) 469-2964
Fax: (952) 469-6753
Website:
Map and Directions
Authorized official contact:
Name: Koziol, Robert PHARMD
Phone: (952) 469-2964

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2004130 Minnesota

Profile Details

NPI number 1629159736
LBN Legal business name Erickson Drug Inc
DBA Doing business as Erickson Drug Inc
Authorized official Koziol, Robert PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Jun 27th, 2015 - about 11 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 1629159736 NPPES
Other 2044557 PK
MEDICAID 7223201 PK
MEDICAID 471357500 PK

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