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Organization

MINNESOTA INDEPENDENT COOPERATIVE

Active
Other names
Diabetic Care Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES RUSSO (VP OF OPERATIONS)
(651) 686-5011
Entity
Organization

Contact information

Practice address
2980 COMMERS DR STE 200, EAGAN, MN 55121-2370
(800) 940-1934
Mailing address
2980 COMMERS DR STE 200, EAGAN, MN 55121-2370
(800) 940-1934

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3336C0003X
Community/Retail Pharmacy
361687
MN

Other

Enumeration date
02/12/2013
Last updated
02/12/2013
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