GOOD CLINIC MN PLLC NPI 1962097683

NPI Information

GOOD CLINIC MN PLLC is a non pharmacy dispensing site in Minneapolis, MN. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) GOOD CLINIC MN PLLC NPI is 1962097683. The provider is registered as an organization entity type.

The provider's business location address is:

307 1ST AVENUE
MINNEAPOLIS, MN
ZIP 55413-000
Phone: (952) 653-2525
Fax: (952) 653-2540

The provider's authorized official is Rebecca Hafner-fogarty .
The authorized official title is Authorized Official and has the following contact phone number (612) 284-8206.

The enumeration date for this NPI number is 3/4/2021 and was last updated on 3/4/2021.

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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