Healtheast Pharmacy - St. Paul

LBN: Healtheast St Josephs Hospital
Healtheast Pharmacy - St. Paul is an health care organization with primary practice located at Gallery Professional Building Suite #150 17 West Exchange Street, St Paul MN 55102-1045. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Healtheast St Josephs Hospital can be contacted via phone (651) 326-4505, or through Else, Craig via phone (651) 232-3648.

Contact Information

Primary practice address
Gallery Professional Building Suite #150 17 West Exchange Street St Paul MN 55102-1045
Fax: (651) 623-4510
Website:
Authorized official contact:
Name: Else, Craig

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 265311 Minnesota

Profile Details

NPI number 1417499120
LBN Legal business name Healtheast St Josephs Hospital
DBA Doing business as Healtheast Pharmacy - St. Paul
Authorized official Else, Craig
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2016
Last updated May 1st, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417499120 NPPES
Other 2167339 PK
MEDICAID 712047800 PK

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