St Therese Pharmacy

LBN: St Therese Home Inc
St Therese Pharmacy is an health care organization with primary practice located at 8000 Bass Lake Rd , New Hope MN 55428-3118. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. St Therese Home Inc can be contacted via phone (763) 531-5005, or through Brosseau, Al via phone (763) 531-5005.

Contact Information

Primary practice address
8000 Bass Lake Rd New Hope MN 55428-3118
Phone: (763) 531-5005
Fax: (763) 531-5061
Website:
Map and Directions
Authorized official contact:
Name: Brosseau, Al RPH
Phone: (763) 531-5005

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X 200511 Minnesota

Profile Details

NPI number 1003937582
LBN Legal business name St Therese Home Inc
DBA Doing business as St Therese Pharmacy
Authorized official Brosseau, Al RPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Feb 20th, 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 1003937582 NPPES
Other 2045739 PK
MEDICAID 712242001 PK

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