Organization
HCMC COMMUNITY PHARMACY
Active
Other names
Be Well Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER RENTERIA (PHARMACY REVENUE MANAGER)
(612) 873-3225
Entity
Organization
Contact information
Practice address
701 4TH AVE S STE 100, MINNEAPOLIS, MN 55415-1631
(612) 873-3225
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
264612
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148349
PK
—
Enumeration date
12/30/2014
Last updated
02/04/2023
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