# STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET
- **Other names:** Minnesota Veterans Home Pharmacy, Minnesota Veterans Home - Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891021390
- **Legal business name:** STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET
- **Authorized official:** MARY ELIZABETH JOHNSON (CENTRAL PHARMACY, PHARMACIST SENIOR)
- **Authorized official phone:** (612) 548-5962

## Contact information

- **Practice address:** 5101 MINNEHAHA AVE, MINNEAPOLIS, MN 55417-1647
- **Practice address phone:** (612) 548-5930
- **Practice address fax:** (612) 548-5935
- **Mailing address:** 5101 MINNEHAHA AVE BLDG 10, MINNEAPOLIS, MN 55417-1647
- **Mailing address phone:** (612) 548-5930
- **Mailing address fax:** (612) 548-5935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 201261 | MN | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/19/2009
- **Last updated:** 03/19/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2413499 | NCPDP | — |