Organization
MAYO CLINIC HEALTH SYSTEM - PHARMACY & HOME MEDICAL INC
Active
Parent organization
MAYO CLINIC HEALTH SYSTEM - PHARMACY & HOME MEDICAL, INC.
Other names
Mayo Clinic Store - Midelfort
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAYO CLINIC HEALTH SYSTEM - PHARMACY & HOME MEDICAL, INC.
Authorized official
JULIE S HANSEN (CFO)
(715) 838-5270
Entity
Organization
Contact information
Practice address
1400 BELLINGER ST., SUITE PHM #3, EAU CLAIRE, WI 54703-5222
(715) 838-1815
Mailing address
21 1ST ST SW STE 1-18, ROCHESTER, MN 55902-3124
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6005
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33094500
—
WI
Enumeration date
07/31/2006
Last updated
12/18/2018
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