Individual
DR. PAUL JAMES DEGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9800 HEALTH CARE LN, MAIL STOP MN006-E500, MINNETONKA, MN 55343-4542
(763) 913-6303
(763) 913-6303
Mailing address
9800 HEALTH CARE LN, MAIL STOP MN006-E500, MINNETONKA, MN 55343-4542
(763) 913-6303
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117215
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801126214
NPI
MN
01
—
2429959
NCPDP
MN
Enumeration date
03/12/2010
Last updated
03/07/2023
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