North Clinic, Pa
Non-pharmacy Dispensing Site
5109 36th Ave N, Crystal
Minnesota, 55422-2007
763-587-7900 763-587-7989
North Clinic, Pa is not a DME supplier for medicare equipments and products.
North Clinic, Pa is a Non-pharmacy Dispensing Site in Crystal, Minnesota. This organization is also known as sub part of Medvantx, Inc.. It is located at 5109 36th Ave N, Crystal and it's customer support contact number is 763-587-7900. The authorized person of North Clinic, Pa is Kenny Heine who is Vp Of Operations of the pharmacy and his contact number is 858-625-2990. Active license number of North Clinic, Pa is 33827 for Non-pharmacy Dispensing Site in Minnesota.
North Clinic, Pa is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
North Clinic, 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: | North Clinic, Pa |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 5109 36th Ave N, Crystal, Minnesota, 55422-2007 |
| Phone: | 763-587-7900 |
| Fax: | 763-587-7989 |
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: | Kenny Heine |
| Position: | Vp Of Operations |
| Contact Number: | 858-625-2990 |
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: | 1134374523 |
| Parent Organization: | Medvantx, Inc. |
| NPI Enumeration Date: | 26 Nov, 2008 |
| NPI Last Update On: | 29 Dec, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for North Clinic, Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | 33827 | Minnesota | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9276 Scranton Rd, Suite 100 San Diego, California |
| Zip: | 92121-7701 |
| Phone Number: | -- |
Patients can reach North Clinic, Pa at
5109 36th Ave N, Crystal, Minnesota or can
call on customer care at 763-587-7900.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.