Individual
MR. JAY HENRY EIDEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
800 E 28TH ST STE H2100, MINNEAPOLIS, MN 55407
(612) 863-9134
(612) 863-3646
Mailing address
800 E 28TH ST # 33230, MINNEAPOLIS, MN 55407-3723
(952) 212-8086
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
118893
MN
Other
Enumeration date
06/16/2008
Last updated
07/12/2018
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