Individual
HEIDI MCKANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 W LAKE ST, MINNEAPOLIS, MN 55408-7200
(612) 824-0991
Mailing address
1300 W LAKE ST, MINNEAPOLIS, MN 55408-7200
(612) 824-0991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123159
MN
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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