Organization
CHILDREN'S HEALTH CARE
Active
Other names
Children's Home Infusion Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA LU ALEXANDER MCCORMICK (SR. VP AND CHIEF FINANCIAL OFFICER)
(612) 813-6129
Entity
Organization
Contact information
Practice address
2530 CHICAGO AVENUE SOUTH, 220, MINNEAPOLIS, MN 55404-4289
(612) 813-7206
Mailing address
5901 LINCOLN DRIVE, CBC-2-REV/PE, EDINA, MN 55436-1611
(952) 992-5691
(952) 992-6917
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
262015
MN
Other
Enumeration date
11/24/2009
Last updated
10/31/2022
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