Fairview Oxboro Pharmacy Mtm

NPI 1184769457 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1184769457
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 (952) 885-6166
Fax (952) 885-6167
Practice Location
600 W 98TH STREET
BLOOMINGTON MN, 55420, US
Phone (952) 885-6166
Fax (952) 885-6167
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 2625357
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According to our database, Fairview Oxboro Pharmacy Mtm NPI is 1184769457, taxonomy code is 332900000X and license number is 2625357, license state is located at Minnesota. Fairview Oxboro Pharmacy Mtm physically located at 600 W 98th Street, Bloomington MN, 55420. NPI Number 1033115704 has the healthcare provider type.

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1184769457 NPI number is provided on an as is basis without warranty of any kind. 1184769457 is maintained by the National Plan & Provider Enumeration System. The contents of Fairview Oxboro Pharmacy Mtm are for informational purposes only.