<Unavail>

LBN: Guardian Pharmacy Svc Llc
<Unavail> is an health care organization with primary practice located at 9703 Valley View Rd , Eden Prairie MN 55344-3508. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Guardian Pharmacy Svc Llc can be contacted via phone (952) 351-4100, or through Edwards, Jerry via phone (952) 351-4100.

Contact Information

Primary practice address
9703 Valley View Rd Eden Prairie MN 55344-3508
Phone: (952) 351-4100
Fax: (952) 351-4102
Website:
Map and Directions
Authorized official contact:
Name: Edwards, Jerry
Phone: (952) 351-4100

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 2624015 Minnesota

Profile Details

NPI number 1003858804
LBN Legal business name Guardian Pharmacy Svc Llc
DBA Doing business as <Unavail>
Authorized official Edwards, Jerry
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Jun 16th, 2010 - about 16 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 1003858804 NPPES
Other 2425898 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 941422300 NCPDP PROVIDER IDENTIFICATION NUMBER

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