MR. JAY HENRY EIDEM PHARMD NPI 1396905022

NPI Information

MR. Jay Henry Eidem, PHARMD is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Minneapolis, MN. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. MR. Jay Henry Eidem, PHARMD NPI is 1396905022. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

800 E 28TH ST STE H2100
MINNEAPOLIS, MN
ZIP 55407
Phone: (612) 863-9134
Fax: (612) 863-3646

The enumeration date for this NPI number is 6/16/2008 and was last updated on 7/12/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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