Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deephaven Phcy Inc

Organization Pharmacy · NPI 1043439359

Deephaven Phcy Inc is a Pharmacy in Wayzata, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3428 County Road 101 S
Wayzata, MN 55391-3421
Phone: (952) 473-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 2617598 (MN)
Pharmacy Taxonomy 333600000X

Record details

NPI number1043439359
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Larson — Pres · (952) 473-4100
Other names Deephaven Drug Co
NPI enumeratedApril 25, 2007
Last updated in NPPESSeptember 12, 2007
Mailing address3428 County Road 101 S, Wayzata, MN 55391-3421

Other providers in Wayzata