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Organization
MEDICATION THERAPY MANAGEMENT INC. P.C.
Active
Organization
MEDICATION THERAPY MANAGEMENT INC. P.C.
Active
Other names
Medication Therapy Management Service at Mankato, MTM Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TSUHUA SUSAN CHEN PHARMD (PRESIDENT)
(507) 301-6867
Entity
Organization
Contact information
Practice address
1320 ITHILIEN, EXCELSIOR, MN 55331-9032
(507) 301-6867
(952) 474-3220
Mailing address
1320 ITHILIEN, EXCELSIOR, MN 55331-9032
(507) 301-6867
(952) 474-3220
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR1100X
Research Clinic/Center
—
—
3336C0002X
Clinic Pharmacy
264077
MN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141905
PK
—
01
—
2432083
NCPDP
MN
Enumeration date
04/03/2013
Last updated
11/05/2021
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