Whalio Doctors

NPI 1003937582

St Therese Home INC

Organisation Long Term Care Pharmacy New Hope, MN

Practice location

Address
8000 Bass Lake Rd, New Hope, MN 55428-3118
Phone
(763) 531-5005
Fax
(763) 531-5061
Mailing address
8000 Bass Lake Rd #200a, New Hope, MN 55428-3118

Authorised official

Name
Al Brosseau
Title
Director of Pharmacy
Phone
(763) 531-5005

Registered specialties (4)

Long Term Care Pharmacy Primary
Suppliers Taxonomy 3336L0003X Licence 200511 (MN)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X
Compounding Pharmacy
Suppliers Taxonomy 3336C0004X

Registry record

NPI
1003937582
Entity type
Organization
NPI issued
3 Apr 2007
Record last updated
20 Feb 2017

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.