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Individual

BERNARD J HEINZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
7535 W BROADWAY AVE, T-693, BROOKLYN PARK, MN 55428-1287
(763) 425-5300
Mailing address
6518 CHADWICK CT, SAVAGE, MN 55378-4034
(952) 447-1765
(952) 447-1765

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
110418
MN

Other

Enumeration date
07/06/2012
Last updated
07/08/2012
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