Fairview Highland Park Pharmacy Mtm

NPI 1851436125 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1851436125
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 CONTRACTS MANAGER
Phone (651) 696-5020
Fax (651) 696-5025
Practice Location
2155 FORD PKWY
SAINT PAUL MN, 55116-1862, US
Phone (651) 696-5020
Fax (651) 696-5025
Business Location
PO BOX 1450 NW7429
ATTN CONTRACTING
MINNEAPOLIS MN, 55485-1450, US
Phone (612) 672-5174
Fax (612) 672-6659
Toxanomy
Taxonomy Code 332900000X
License State Minnesota
License Number 2625302
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According to our database, Fairview Highland Park Pharmacy Mtm NPI is 1851436125, taxonomy code is 332900000X and license number is 2625302, license state is located at Minnesota. Fairview Highland Park Pharmacy Mtm physically located at 2155 Ford Pkwy, Saint Paul MN, 55116-1862. NPI Number 1033115704 has the healthcare provider type.

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1851436125 NPI number is provided on an as is basis without warranty of any kind. 1851436125 is maintained by the National Plan & Provider Enumeration System. The contents of Fairview Highland Park Pharmacy Mtm are for informational purposes only.