Organization · Type 2 NPI

Medication Therapy Management Inc. P.c.

Primary Care Clinic/Center · Excelsior, MN

NPI number 1225371701 Active

Practice location

1320 Ithilien
Excelsior, MN 55331-9032

Fax (952) 474-3220

Specialties and licenses

Taxonomy	Code	License
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	1835P0018X	None listed
Medical Specialty Clinic/Center	261QM2500X	None listed
Primary Care Clinic/Center Primary	261QP2300X	None listed
Research Clinic/Center	261QR1100X	None listed
Clinic Pharmacy	3336C0002X	264077 (MN)
Long Term Care Pharmacy	3336L0003X	None listed

Primary Care Clinic/Center: Definition to come...

NPI record

NPI: 1225371701
Entity type: Organization (Type 2)
Issued: Apr 3, 2013
Last updated: Nov 5, 2021
Status: Active

Other names

<unavail>
MTM Clinic · doing business as
Medication Therapy Management Service at Mankato · doing business as

Authorized official

Dr. Tsuhua Susan Chen, PharmD
President
(507) 301-6867

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 1225371701

Medication Therapy Management Inc. P.c.'s National Provider Identifier is 1225371701, issued on Apr 3, 2013. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Excelsior, MN. The record was last updated on Nov 5, 2021.