# MIDWEST MEDICAL HOLDINGS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RX EXPRESS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609925965
- **Authorized official:** LARRY LINDBERG RPH (PIC/OWNER)
- **Authorized official phone:** (763) 780-0218

## Contact information

- **Practice address:** 8400 CORAL SEA ST NE, SAINT PAUL, MN 55112-4398
- **Practice address phone:** (763) 780-0218
- **Practice address fax:** (763) 780-2381
- **Mailing address:** 8400 CORAL SEA ST NE, SAINT PAUL, MN 55112-4398
- **Mailing address phone:** (763) 780-0218
- **Mailing address fax:** (763) 780-2381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 261420 | MN | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 04/13/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2047435 | PK | — |
| 05 | — | 950816300 | — | MN |