Organization
ALLINA HEALTH SYSTEM
Active
Other names
Allina Health Home Infusion Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
4050 COON RAPIDS BLVD NW, #123, COON RAPIDS, MN 55433-2522
(763) 236-6991
(763) 236-6992
Mailing address
PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
10/02/2014
Last updated
01/22/2025
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