Organization
HEALTHEAST ST JOSEPHS HOSPITAL
Active
Other names
HealthEast Pharmacy - St. Paul
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG ELSE (SYSTEM PHARMACY DIRECTOR)
(651) 232-3648
Entity
Organization
Contact information
Practice address
GALLERY PROFESSIONAL BUILDING SUITE #150, 17 WEST EXCHANGE STREET, ST PAUL, MN 55102-1045
(651) 326-4505
(651) 623-4510
Mailing address
GALLERY PROFESSIONAL BUILDING SUITE #150, 17 WEST EXCHANGE STREET, ST PAUL, MN 55102-1045
(651) 326-4505
(651) 623-4510
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
265311
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167339
PK
—
05
—
712047800
—
MN
Enumeration date
11/11/2016
Last updated
05/01/2017
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