Organization · Type 2 NPI

White Bear Health Mart Pharmacy LLC

Clinic/Center · White Bear Lake, MN

NPI number 1639474612 Active

Practice location

2008 County Road E E
White Bear Lake, MN 55110-7333

Fax (651) 289-4301

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1639474612

White Bear Health Mart Pharmacy LLC's National Provider Identifier is 1639474612, issued on Jan 21, 2011. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in White Bear Lake, MN. The record was last updated on May 7, 2011.