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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAKOPEE MDEWAKANTON SIOUX COMMUNITY

Active Organization

SHAKOPEE MDEWAKANTON SIOUX COMMUNITY is a Pharmacy organization located in PRIOR LAKE, Minnesota. NPI 1437203882 is currently active in the NPPES registry. Verify at CMS.

Pharmacy · PRIOR LAKE, MN

Registration Details

NPI Number
1437203882
Provider Type
Organization
NPI Issued
Jan 23, 2007 (19.573026477288 yrs)
Last Updated
Jan 20, 2025
License
262982 (MN)

Practice Information

Address
15045 MYSTIC LAKE DR NW
PRIOR LAKE, MN, 553729011
Browse MN providers · Browse ZIP 55372
Phone
9522332900
Fax
9522338066
Primary Specialty
Pharmacy
333600000X
Additional Specialty
Pharmacy
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.