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Organization
MINIMED DISTRIBUTION CORP.
Active
Organization
MINIMED DISTRIBUTION CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA WARD (PRINCIPAL BUSINESS OPERATIONS SPEC)
(804) 550-2017
Entity
Organization
Contact information
Practice address
18000 DEVONSHIRE ST, NORTHRIDGE, CA 91325-1219
(800) 646-4633
(818) 739-4414
Mailing address
18000 DEVONSHIRE ST, NORTHRIDGE, CA 91325-1219
(800) 646-4633
(818) 739-4414
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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