Prairiestone Pharmacy LLC

NPI #1952431884 in Eden Prairie, Minnesota

Provider Information

NPI Number: 1952431884
Entity Type: Organization
Organization Name: Prairiestone Pharmacy LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ARCADIA RESOURCES INC
Primary Specialty: Pharmacist
Enumeration Date: Mar 7, 2007
Last Updated: Jul 1, 2011

Practice Location

Address: 9995 W 69TH ST
Address 2: STE 102
City: Eden Prairie
State: Minnesota
ZIP Code: 55344-3457
Phone: (952) 656-5095

Authorized Official

Name: MATTHEW MIDDENDORF
Title: CFO, SECRETARY, TREASURER
Phone: (317) 569-8234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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