Genoa Healthcare Minnesota, Llc

NPI 1043497456 - Pharmacy - 3336C0003X

NPI Details
NPI 1043497456
Enumeration Date 01/28/2008
Last Updated 03/22/2012
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RYAN RYAN
Position CONTROLLER
Phone (651) 771-0286
Fax (651) 771-0735
Practice Location
317 YORK AVE
SAINT PAUL MN, 55130-4039, US
Phone (651) 771-0286
Fax (651) 771-0735
Business Location
PO BOX 77030
MINNEAPOLIS MN, 55480-7730, US
Phone (253) 218-0830
Fax (253) 217-4306
Toxanomy
Taxonomy Code 3336C0003X
License State
License Number
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According to our database, Genoa Healthcare Minnesota, Llc NPI is 1043497456, taxonomy code is 3336C0003X Genoa Healthcare Minnesota, Llc physically located at 317 York Ave, Saint Paul MN, 55130-4039. NPI Number 1033115704 has the healthcare provider type.

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1043497456 NPI number is provided on an as is basis without warranty of any kind. 1043497456 is maintained by the National Plan & Provider Enumeration System. The contents of Genoa Healthcare Minnesota, Llc are for informational purposes only.