Shakopee Mdewakanton Sioux Community
Pharmacy
15045 Mystic Lake Dr Nw, Prior Lake
Minnesota, 55372-9011
952-233-2900 952-233-8066
Shakopee Mdewakanton Sioux Community is a Pharmacy in Prior Lake, Minnesota. It is located at 15045 Mystic Lake Dr Nw, Prior Lake and it's customer support contact number is 952-233-2900. The authorized person of Shakopee Mdewakanton Sioux Community is William Weiers, RPH who is Pharmacy Director of the pharmacy and his contact number is 952-233-2900. Active license number of Shakopee Mdewakanton Sioux Community is 262982 for Pharmacy in Minnesota.
Shakopee Mdewakanton Sioux Community is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Shakopee Mdewakanton Sioux Community 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: | Shakopee Mdewakanton Sioux Community |
| Type: | Pharmacy |
| Location: | 15045 Mystic Lake Dr Nw, Prior Lake,
Minnesota, 55372-9011 |
| Phone: | 952-233-2900 |
| Fax: | 952-233-8066 |
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: | William Weiers |
| Credentials: | RPH |
| Position: | Pharmacy Director |
| Contact Number: | 952-233-2900 |
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: | 1437203882 |
| NPI Enumeration Date: | 23 Jan, 2007 |
| NPI Last Update On: | 20 Jan, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shakopee Mdewakanton Sioux Community are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 262982 | Minnesota | Primary | |
| Clinic 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 |
| 2049180 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 15045 Mystic Lake Dr Nw,
Prior Lake, Minnesota |
| Zip: | 55372-9011 |
| Phone Number: | 952-233-2900 |
| Fax Number: | 952-233-8066 |
Patients can reach Shakopee Mdewakanton Sioux Community at
15045 Mystic Lake Dr Nw, Prior Lake, Minnesota or can
call on customer care at 952-233-2900.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.