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

Shakopee Mdewakanton Sioux Community

Organization Pharmacy · NPI 1437203882

Shakopee Mdewakanton Sioux Community is a Pharmacy in Prior Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
Specialties on file
2

Practice location Address checks out

15045 Mystic Lake Dr NW
Prior Lake, MN 55372-9011
Phone: (952) 233-2900
Fax: (952) 233-8066
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 262982 (MN)
Clinic Pharmacy Taxonomy 3336C0002X

Record details

NPI number1437203882
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Weiers — Pharmacy Director · (952) 233-2900
Other names Shakopee Mdewakanton Sioux Comm Phcy; Smsc Pharmacy; Smsc Pharmacy
NPI enumeratedJanuary 23, 2007
Last updated in NPPESJanuary 20, 2025
Certification dateJanuary 20, 2025
Mailing address15045 Mystic Lake Dr Nw, Prior Lake, MN 55372-9011

Other providers in Prior Lake