Columbia Park Medical Group, Pa
Clinic Pharmacy
13819 Hanson Blvd Nw, Suite 100, Andover
Minnesota, 55304-7608
763-862-4445 763-862-4465
Columbia Park Medical Group, Pa is a Clinic Pharmacy in Andover, Minnesota. It is located at 13819 Hanson Blvd Nw, Suite 100, Andover and it's customer support contact number is 763-862-4445. The authorized person of Columbia Park Medical Group, Pa is John Louis Weir who is Executive Director of the pharmacy and his contact number is 763-586-5877. Active license number of Columbia Park Medical Group, Pa is 261566-8 for Clinic Pharmacy in Minnesota.
Columbia Park Medical Group, Pa is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
Columbia Park Medical Group, Pa type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Columbia Park Medical Group, Pa |
| Type: | Clinic Pharmacy |
| Location: | 13819 Hanson Blvd Nw, Suite 100, Andover,
Minnesota, 55304-7608 |
| Phone: | 763-862-4445 |
| Fax: | 763-862-4465 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | John Louis Weir |
| Position: | Executive Director |
| Contact Number: | 763-586-5877 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1417056698 |
| NPI Enumeration Date: | 22 Sep, 2006 |
| NPI Last Update On: | 07 Mar, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Columbia Park Medical Group, Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic Pharmacy | 261566-8 | Minnesota | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 306066 | Other | Minnesota | Anda |
| 45Q12CO | Other | Minnesota | Bcbs Dme Number |
| 10016952 | Other | Minnesota | Ipc Number |
| 24-22917 | Other | Minnesota | Nabp Number |
| 314420 | Other | Minnesota | Mckesson |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 6401 University Ave Ne,
Fridley, Minnesota |
| Zip: | 55432-4341 |
| Phone Number: | 763-572-5710 |
| Fax Number: | 763-571-3008 |
Patients can reach Columbia Park Medical Group, Pa at
13819 Hanson Blvd Nw, Suite 100, Andover, Minnesota or can
call on customer care at 763-862-4445.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.