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Organization
MIDWEST MEDICAL HOLDINGS LLC
Active
Organization
MIDWEST MEDICAL HOLDINGS LLC
Active
Other names
RX EXPRESS
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY LINDBERG RPH (PIC/OWNER)
(763) 780-0218
Entity
Organization
Contact information
Practice address
8400 CORAL SEA ST NE, SAINT PAUL, MN 55112-4398
(763) 780-0218
(763) 780-2381
Mailing address
8400 CORAL SEA ST NE, SAINT PAUL, MN 55112-4398
(763) 780-0218
(763) 780-2381
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
261420
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2047435
PK
—
05
—
950816300
—
MN
Enumeration date
01/09/2007
Last updated
04/13/2015
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