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Organization
INTEGRATIAVECARE VADNAIS HEIGHTS LLC
Active
Organization
INTEGRATIAVECARE VADNAIS HEIGHTS LLC
Active
Other names
IntegrativeCare Natural Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEE RYAN RPH (PRESIDENT)
(651) 489-2711
Entity
Organization
Contact information
Practice address
5 EAST COUNTY ROAD B, SUITE #2, LITTLE CANADA, MN 55117
(651) 489-2711
(651) 287-1004
Mailing address
5 EAST COUNTY ROAD B, SUITE #2, LITTLE CANADA, MN 55117
(651) 489-2711
(651) 287-1004
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
262061-1
MN
Other
Enumeration date
09/25/2007
Last updated
05/31/2012
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