Individual
ELI EGGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 602-7589
(651) 602-7502
Mailing address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 602-7589
(651) 602-7502
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
123380
MN
1835P2201X
Ambulatory Care Pharmacist
Primary
123380
MN
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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