Shakopee Mdewakanton Sioux Community
NPI #1437203882 in Prior Lake, Minnesota
Provider Information
- NPI Number
- 1437203882
- Entity Type
- Organization
- Organization Name
- Shakopee Mdewakanton Sioux Community
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jan 23, 2007
- Last Updated
- Jan 20, 2025
Practice Location
- Address
- 15045 MYSTIC LAKE DR NW
- City
- Prior Lake
- State
- Minnesota
- ZIP Code
- 55372-9011
- Phone
- (952) 233-2900
Authorized Official
- Name
- WILLIAM WEIERS, RPH
- Title
- PHARMACY DIRECTOR
- Phone
- (952) 233-2900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Clinic Pharmacy — Clinic Pharmacy |
| Pharmacy |
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