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

Good Clinic Mn PLLC

Organization Non-Pharmacy Dispensing Site · NPI 1962097683

Good Clinic Mn PLLC is a Non-Pharmacy Dispensing Site in Minneapolis, Minnesota. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

307 1st Ave
Minneapolis, MN 55413-0000
Phone: (952) 653-2525
Fax: (952) 653-2540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X

Record details

NPI number1962097683
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Hafner-Fogarty — Authorized Official · (612) 284-8206
NPI enumeratedMarch 4, 2021
Last updated in NPPESMarch 4, 2021
Certification dateFebruary 11, 2021
Mailing address307 1st Avenue, Minneapolis, MN 55413

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