Watertown Pharmacy Llc
Community/Retail Pharmacy
4689 Shoreline Drive, Suite 100, Spring Park
Minnesota, 55384
952-955-2153 952-471-1212
Watertown Pharmacy Llc is a Community/Retail Pharmacy in Spring Park, Minnesota. It is located at 4689 Shoreline Drive, Suite 100, Spring Park and it's customer support contact number is 952-955-2153. The authorized person of Watertown Pharmacy Llc is Rosemary Rosdahl who is Chief Manager of the pharmacy and his contact number is 952-955-2153. Watertown Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Watertown Pharmacy Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Watertown Pharmacy Llc 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: | Watertown Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 4689 Shoreline Drive, Suite 100, Spring Park,
Minnesota, 55384 |
| Phone: | 952-955-2153 |
| Fax: | 952-471-1212 |
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: | Rosemary Rosdahl |
| Position: | Chief Manager |
| Contact Number: | 952-955-2153 |
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: | 1164770756 |
| NPI Enumeration Date: | 29 Aug, 2012 |
| NPI Last Update On: | 08 Jun, 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 Watertown Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | | | Primary | |
| Compounding Pharmacy | | | Secondary | |
| Long Term Care 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 |
| 1164770756 | Medicaid | Minnesota | |
Medicare Enrollment:
Watertown Pharmacy Llc 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 |
| 0042101313 | O20150515000487 | Watertown Pharmacy Llc | DME SUPPLIER - PHARMACY |
Products Available:
Watertown Pharmacy Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Diabetic Shoes & Inserts: Custom Fabricated |
| • Diabetic Shoes & Inserts: Prefabricated | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4689 Shoreline Drive, Suite 100
Spring Park, Minnesota |
| Zip: | 55384 |
| Phone Number: | 952-471-3784 |
| Fax Number: | 952-471-1212 |
Patients can reach Watertown Pharmacy Llc at
4689 Shoreline Drive, Suite 100, Spring Park, Minnesota or can
call on customer care at 952-955-2153.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.