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STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET NPI 1891021390


NPI Information

NPI: 1891021390
Provider Name: STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET

Doing Business As: MINNESOTA VETERANS HOME - PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
5101 MINNEHAHA AVE
MINNEAPOLIS, MN
ZIP 55417
Phone: (612) 548-5930
Get Directions

STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET is a long term care pharmacy pharmacy in Minneapolis, MN. The provider is 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. STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET NPI is 1891021390. The provider is registered as an organization entity type.
The provider Is Doing Business As Minnesota Veterans Home - Pharmacy.

The provider's business location address is:

5101 MINNEHAHA AVE
MINNEAPOLIS, MN
ZIP 55417-647
Phone: (612) 548-5930
Fax: (612) 548-5935

The provider's authorized official is Mary Elizabeth Johnson .
The authorized official title is Central Pharmacy, Pharmacist Senior and has the following contact phone number (612) 548-5962.

The enumeration date for this NPI number is 10/19/2009 and was last updated on 3/19/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyYes
23336L0003XPharmacyLong Term Care Pharmacy201261MINNESOTANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12413499OTHERNCPDP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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