Columbia Park Medical Group, PA
NPI #1326148271 in Columbia Heights, Minnesota
Provider Information
- NPI Number
- 1326148271
- Entity Type
- Organization
- Organization Name
- Columbia Park Medical Group, PA
- Primary Specialty
- Pharmacy - Clinic Pharmacy
- Enumeration Date
- Sep 22, 2006
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 4000 CENTRAL AVE NE
- City
- Columbia Heights
- State
- Minnesota
- ZIP Code
- 55421-2968
- Phone
- (763) 572-5710
Authorized Official
- Name
- JOHN LOUIS WEIR
- Title
- EXECUTIVE DIRECTOR
- Phone
- (763) 586-5877
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Clinic Pharmacy — Clinic Pharmacy |
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