Organization · Type 2 NPI

State of Minnesota-Minnesota Management and Budget

Long Term Care Pharmacy · Minneapolis, MN

NPI number 1891021390 Active

Practice location

5101 Minnehaha Ave
Minneapolis, MN 55417-1647

Call (612) 548-5930 Map

Fax (612) 548-5935

Mailing address

5101 Minnehaha Ave Bldg 10
Minneapolis, MN 55417-1647

Specialties and licenses

Taxonomy	Code	License
Long Term Care Pharmacy	3336L0003X	201261 (MN)
Long Term Care Pharmacy Primary	3336L0003X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

13 other providers at this address

Other long term care pharmacy providers in Minneapolis

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NPI record

NPI: 1891021390
Entity type: Organization (Type 2)
Issued: Oct 19, 2009
Last updated: Mar 19, 2019
Status: Active
Subpart: Yes of State of Minnesota-Minnesota Management and Budget

Other names

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Minnesota Veterans Home - Pharmacy · doing business as
Minnesota Veterans Home Pharmacy · doing business as

Authorized official

Mary Elizabeth Johnson
Central Pharmacy, Pharmacist Senior
(612) 548-5962

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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 1891021390

State of Minnesota-Minnesota Management and Budget's National Provider Identifier is 1891021390, issued on Oct 19, 2009. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 19, 2019.