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DEEPHAVEN DRUG CO
NPI 1043439359
Pharmacy - Community/Retail Pharmacy in Wayzata, MN

Active since April 25, 2007
3428 COUNTY ROAD 101 S, WAYZATA, MN 55391(952) 473-4100 Get Directions Write a Review

NPPES record last updated: September 12, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Deephaven Drug Co NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEEPHAVEN DRUG CO (NPI 1043439359) is a healthcare organization registered as a community/retail pharmacy in Wayzata, Minnesota and active in the NPI registry since April 2007. The organization lists Mark Larson, Pres, as its authorized official.

NPPES Registry Identity

NPI1043439359
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameDEEPHAVEN PHCY INC
Location Address3428 COUNTY ROAD 101 SWayzata, MN 55391-3421
Mailing Address3428 County Road 101 SWayzata, MN 55391-3421
Phone(952) 473-4100
Organization SubpartNo
Authorized OfficialMark LarsonPres · (952) 473-4100
Enumeration DateApril 25, 2007
Last NPPES UpdateSeptember 12, 2007
✔ NPI 1043439359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MN · 2617598
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
3428 COUNTY ROAD 101 S, Wayzata, MN 55391
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Other Names 1

Doing Business AsDeephaven Drug Co

Other Identifiers 2

Other2401634Other Id Number
Other2401634Other Id Number-commercial Number

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deephaven Phcy Inc's NPI number?

The NPI number for Deephaven Phcy Inc is 1043439359. It was assigned to this organization in the NPPES registry on April 25, 2007. The provider is doing business as Deephaven Drug Co.

Where is Deephaven Phcy Inc located?

Deephaven Phcy Inc is located at 3428 County Road 101 S, Wayzata, MN 55391. The listed phone number is (952) 473-4100.

What is Deephaven Phcy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Deephaven Phcy Inc was last updated on September 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.