Mellgren, Dane John

Mellgren, Dane John is an individual health care provider with primary practice located at 4429 Van Buren St Ne , Columbia Heights MN 55421-2952. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mellgren, Dane John can be contacted via phone (952) 451-4838.

Contact Information

Primary practice address
4429 Van Buren St Ne Columbia Heights MN 55421-2952
Phone: (952) 451-4838
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 123330 Minnesota

Profile Details

NPI number 1043705965
LBN Legal business name Mellgren, Dane John
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2018
Last updated Jun 23rd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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