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Organization

MIDWEST MEDICAL HOLDINGS LLC

Active
Other names
RX EXPRESS
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY LINDBERG RPH (PIC/OWNER)
(763) 780-0218
Entity
Organization

Contact information

Practice address
8400 CORAL SEA ST NE, SAINT PAUL, MN 55112-4398
(763) 780-0218
(763) 780-2381
Mailing address
8400 CORAL SEA ST NE, SAINT PAUL, MN 55112-4398
(763) 780-0218
(763) 780-2381

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0004X
Compounding Pharmacy
3336L0003X
Long Term Care Pharmacy
Primary
261420
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2047435
PK
05
950816300
MN
Enumeration date
01/09/2007
Last updated
04/13/2015
About Stedi
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