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

Lake Elmo Pharmacy

Organization Pharmacist · NPI 1710012646

Lake Elmo Pharmacy is a Pharmacist in Lake Elmo, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007

Practice location Address checks out

11240 Stillwater Blvd N
Lake Elmo, MN 55042-9640
Phone: (651) 773-0889
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2611044 (MN)

Record details

NPI number1710012646
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Rich — Pharmacist · (651) 773-0889
NPI enumeratedFebruary 22, 2007
Last updated in NPPESAugust 22, 2020
Mailing address11240 Stillwater Blvd N, Lake Elmo, MN 55042-9640

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