Fairview Hiawatha Pharmacy Mtm

NPI 1851436539 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1851436539
Enumeration Date 02/21/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name STEVEN STEVEN
Position CONTRACT MANAGER
Phone (612) 728-7180
Fax (612) 728-7181
Practice Location
3809 42ND AVE S
MINNEAPOLIS MN, 55406-3503, US
Phone (612) 728-7180
Fax (612) 728-7181
Business Location
PO BOX 1450 NW7429
ATTN CONTRACTING
MINNEAPOLIS MN, 55485-7429, US
Phone (612) 672-5174
Fax (612) 672-6659
Toxanomy
Taxonomy Code 332900000X
License State Minnesota
License Number 2625292
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According to our database, Fairview Hiawatha Pharmacy Mtm NPI is 1851436539, taxonomy code is 332900000X and license number is 2625292, license state is located at Minnesota. Fairview Hiawatha Pharmacy Mtm physically located at 3809 42nd Ave S, Minneapolis MN, 55406-3503. NPI Number 1033115704 has the healthcare provider type.

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1851436539 NPI number is provided on an as is basis without warranty of any kind. 1851436539 is maintained by the National Plan & Provider Enumeration System. The contents of Fairview Hiawatha Pharmacy Mtm are for informational purposes only.