Jay Henry Eidem PHARMD

NPI 1396905022 - Pharmacist - 1835P0018X

NPI Details
NPI 1396905022
Gender Male
Enumeration Date 06/16/2008
Last Updated 06/16/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
701 PARK AVE
MINNEAPOLIS MN, 55415-1623, US
Phone (952) 212-8086
Fax
Business Location
701 PARK AVE
MINNEAPOLIS MN, 55415, US
Phone (952) 212-8086
Fax
Toxanomy
Taxonomy Code 1835P0018X
License State Minnesota
License Number 118893
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According to our database, Mr. Jay Henry Eidem PHARMD NPI is 1396905022, taxonomy code is 1835P0018X and license number is 118893, license state is located at Minnesota. Jay Henry Eidem PHARMD physically located at 701 Park Ave, Minneapolis MN, 55415-1623. NPI Number Jay Henry Eidem PHARMD has the Individual type.

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1396905022 NPI number is provided on an as is basis without warranty of any kind. 1396905022 is maintained by the National Plan & Provider Enumeration System. The contents of Jay Henry Eidem PHARMD are for informational purposes only.