Organization
LOTUS LTC PHARMACY LLC
Active
Other names
Lotus Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JILL MARIE LYTWYN RPH (CEO)
(612) 425-9145
Entity
Organization
Contact information
Practice address
9850 51ST AVE N STE 102, PLYMOUTH, MN 55442-3271
(612) 415-9145
Mailing address
PO BOX 27559, GOLDEN VALLEY, MN 55427-0559
(612) 425-9145
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
11/09/2019
Last updated
04/22/2022
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