Organization
HCMC AMBULATORY PHARMACY
Active
Parent organization
HENNEPIN HEALTHCARE SYSTEMS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HENNEPIN HEALTHCARE SYSTEMS, INC
Authorized official
HALEY HOLTAN PHARMD (AMBULATORY PHARMACIST MANAGER)
(612) 873-6311
Entity
Organization
Contact information
Practice address
701 PARK AVE, RL PHARMACY, MINNEAPOLIS, MN 55415-1623
(612) 873-6311
Mailing address
701 PARK AVE, RL PHARMACY, MINNEAPOLIS, MN 55415-1623
(612) 873-6311
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
264154
MN
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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