Fairview Southdale Med Pharmacy Mtm

NPI 1861527806 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1861527806
Enumeration Date 02/22/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name STEVEN STEVEN
Position CONTRACTS MANAGER
Phone (952) 924-1499
Fax (952) 924-1350
Practice Location
6545 FRANCE AVE SOUTH SUITE 100
EDINA MN, 55435, US
Phone (952) 924-1499
Fax (952) 924-1350
Business Location
PO BOX 1450 NW7429
ATTN CONTRACTING
MINEAPOLIS MN, 55485, US
Phone (612) 672-5174
Fax (612) 672-6659
Toxanomy
Taxonomy Code 332900000X
License State Minnesota
License Number 2625399
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According to our database, Fairview Southdale Med Pharmacy Mtm NPI is 1861527806, taxonomy code is 332900000X and license number is 2625399, license state is located at Minnesota. Fairview Southdale Med Pharmacy Mtm physically located at 6545 France Ave South Suite 100, Edina MN, 55435. NPI Number 1033115704 has the healthcare provider type.

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1861527806 NPI number is provided on an as is basis without warranty of any kind. 1861527806 is maintained by the National Plan & Provider Enumeration System. The contents of Fairview Southdale Med Pharmacy Mtm are for informational purposes only.