Mn Cancer Care Pharmacy
LBN: Minnesota Oncology Hematology Pa
Mn Cancer Care Pharmacy is an health care organization with primary practice located at 1580 Beam Ave , Maplewood MN 55109-1127. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty.
Minnesota Oncology Hematology Pa can be contacted via phone (651) 255-8480, or through Meger, Brian via phone (651) 255-8480.
Contact Information
Primary practice address
1580 Beam Ave
Maplewood MN 55109-1127
Phone: (651) 255-8480
Fax: (651) 779-8989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Clinic Pharmacy | 3336C0002X | 261921 | Minnesota |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1144281304 |
|---|---|
| LBN Legal business name | Minnesota Oncology Hematology Pa |
| DBA Doing business as | Mn Cancer Care Pharmacy |
| Authorized official | Meger, Brian PHARM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Oct 6th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144281304 | NPPES |
| Wisconsin | MEDICAID | 33234600 | |
| Wisconsin | Other | 2047904 | |
| Wisconsin | MEDICAID | 215781100 |
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