OrganizationActive
Group Health Plan
NPI 1649926403 · Non-Pharmacy Dispensing Site · Buffalo, MN
Provider details
- NPI number
- 1649926403
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Authorized official
- Lisa Bjorkman, Director
Practice location
3650 Braddock Ave Ne Ste 400
Buffalo, MN 55313-3666
Phone: (763) 587-4725
Fax: (952) 883-9604
Mailing address
8170 33rd Ave S
Bloomington, MN 55425-4516
Registry dates
- Enumerated
- 2022-03-01
- Last updated
- 2022-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.