Organization · Type 2 NPI

Children's Health Care

Community/Retail Pharmacy · Minneapolis, MN

NPI number 1063659183 Active

Practice location

2530 Chicago Ave, Csc 225
Minneapolis, MN 55404-4289

Call (612) 813-7290 Map

Fax (612) 813-7296

Mailing address

PO Box 860123
Minneapolis, MN 55486-0112

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	263375 (MN)
Compounding Pharmacy	3336C0004X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

94 other providers at this address

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NPI record

NPI: 1063659183
Entity type: Organization (Type 2)
Issued: Jan 12, 2009
Last updated: Oct 31, 2022
Status: Active

Other names

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Children's Hosptials and Clinics of MN · doing business as
Children's Hosptials and Clinics of MN · doing business as

Authorized official

Chestevia Gibson
Outpatient Pharmacy Manager
(612) 813-7290

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063659183

Children's Health Care's National Provider Identifier is 1063659183, issued on Jan 12, 2009. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 31, 2022.