Goodrich Pharmacy, Inc.
Clinic Pharmacy
530 3rd St Nw, Elk River
Minnesota, 55330-1445
763-441-0764 763-587-4897
Goodrich Pharmacy, Inc. is an authorized DME supplier for medicare equipments and products.
Goodrich Pharmacy, Inc. is a Clinic Pharmacy in Elk River, Minnesota. It is located at 530 3rd St Nw, Elk River and it's customer support contact number is 763-441-0764. The authorized person of Goodrich Pharmacy, Inc. is Stephanie Marie Davis who is Owner of the pharmacy and his contact number is 763-421-5540. Active license number of Goodrich Pharmacy, Inc. is 265080 for Clinic Pharmacy in Minnesota. Goodrich Pharmacy, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Goodrich Pharmacy, Inc. 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:
Goodrich Pharmacy, Inc. 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: | Goodrich Pharmacy, Inc. |
| Type: | Clinic Pharmacy |
| Location: | 530 3rd St Nw, Elk River, Minnesota, 55330-1445 |
| Phone: | 763-441-0764 |
| Fax: | 763-587-4897 |
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: | Stephanie Marie Davis |
| Position: | Owner |
| Contact Number: | 763-421-5540 |
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: | 1174635171 |
| NPI Enumeration Date: | 31 Aug, 2006 |
| NPI Last Update On: | 06 Jul, 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 Goodrich Pharmacy, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic Pharmacy | 265080 | Minnesota | Primary | |
| Pharmacy | | | Secondary | |
| Community/Retail Pharmacy | | | Secondary | |
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 |
| 2046716 | Other | | Pk |
| 606360800 | Medicaid | Minnesota | |
Medicare Enrollment:
Goodrich Pharmacy, Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4082510813 | O20100930054368 | Goodrich Pharmacy Inc | DME SUPPLIER - PHARMACY |
Products Available:
Goodrich Pharmacy, Inc. has following products available for sale under medicare.
| Products: |
|---|
| • Surgical Dressings | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2621 Greenhaven Rd Ste 1, Anoka, Minnesota |
| Zip: | 55303-5566 |
| Phone Number: | 763-441-0764 |
| Fax Number: | 763-587-4897 |
Patients can reach Goodrich Pharmacy, Inc. at
530 3rd St Nw, Elk River, Minnesota or can
call on customer care at 763-441-0764.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.