Fairview Northeast Pharmacy Mtm

NPI 1760527030 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1760527030
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) 789-7277
Fax (612) 706-4591
Practice Location
2847 JOHNSON ST NE
MINNEAPOLIS MN, 55418-3055, US
Phone (612) 789-7277
Fax (612) 706-4591
Business Location
PO BOX 1450 NW7429
ATTN CONTRACTING
MINNEAPOLIS MN, 55485, US
Phone (612) 672-5174
Fax (612) 672-6659
Toxanomy
Taxonomy Code 332900000X
License State Minnesota
License Number 2625386
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According to our database, Fairview Northeast Pharmacy Mtm NPI is 1760527030, taxonomy code is 332900000X and license number is 2625386, license state is located at Minnesota. Fairview Northeast Pharmacy Mtm physically located at 2847 Johnson St Ne, Minneapolis MN, 55418-3055. NPI Number 1033115704 has the healthcare provider type.

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1760527030 NPI number is provided on an as is basis without warranty of any kind. 1760527030 is maintained by the National Plan & Provider Enumeration System. The contents of Fairview Northeast Pharmacy Mtm are for informational purposes only.