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Organization
LOTUS LTC PHARMACY LLC
Active
Organization
LOTUS LTC PHARMACY LLC
Active
Other names
Lotus Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JILL MARIE LYTWYN RPH (CEO)
(612) 425-9145
Entity
Organization
Contact information
Practice address
9850 51ST AVE N STE 102, PLYMOUTH, MN 55442-3271
(612) 415-9145
Mailing address
PO BOX 27559, GOLDEN VALLEY, MN 55427-0559
(612) 425-9145
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
11/09/2019
Last updated
04/22/2022
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