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Organization
MINNESOTA ONCOLOGY HEMATOLOGY PA
Active
Organization
MINNESOTA ONCOLOGY HEMATOLOGY PA
Active
Other names
MN CANCER CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MEGER PHARM D (PHARMACY MANAGER)
(651) 255-8480
Entity
Organization
Contact information
Practice address
1580 BEAM AVE, MAPLEWOOD, MN 55109-1127
(651) 255-8480
(651) 779-8989
Mailing address
1580 BEAM AVE, MAPLEWOOD, MN 55109-1127
(651) 255-8480
(651) 779-8989
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
261921
MN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2047904
PK
—
05
—
215781100
—
MN
05
—
33234600
—
WI
Enumeration date
03/29/2006
Last updated
10/06/2015
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