Organization
CHILDREN'S HEALTH CARE
Active
Other names
Children's Hospitals and Clinics of Minnesota
Organization subpart
No
Provider details
NPI number
Authorized official
CHESTEVIA GIBSON (DIRECTOR PHARMACY SERVICES)
(612) 813-5922
Entity
Organization
Contact information
Practice address
2530 CHICAGO AVE # CSC225, MINNEAPOLIS, MN 55404-4289
(612) 813-7277
(612) 813-8720
Mailing address
PO BOX 860123, MINNEAPOLIS, MN 55486-0123
(612) 813-7277
(612) 813-8720
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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