NPI 1003061011
Pine Medical Center
Practice location
- Address
- 109 Court Ave S, Sandstone, MN 55072-5120
- Phone
- (952) 653-2528
- Mailing address
- 6501 City West Pkwy, Eden Prairie, MN 55344-3248
Authorised official
- Name
- Jim Koppen
- Title
- Director of Pharmacy
- Phone
- (952) 653-2528
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1003061011
- Entity type
- Organization
- NPI issued
- 19 Nov 2008
- Record last updated
- 19 Nov 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.