Organization
MINNESOTA ONCOLOGY HEMATOLOGY PA
Active
Parent organization
MINNESOTA ONCOLOGY HEMATOLOGY PA
Other names
MN Cancer Care Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINNESOTA ONCOLOGY HEMATOLOGY PA
Authorized official
DR. BRIAN MARTIN MEGER PHARMD (PHARMACY MANAGER)
(651) 255-8480
Entity
Organization
Contact information
Practice address
10150 NIAGARA LN N, STE 100, MAPLE GROVE, MN 55369-7588
(763) 712-2100
(763) 712-2190
Mailing address
2250 UNIVERSITY AVE W, SUITE 110-N, ST. PAUL, MN 55114
(651) 602-5335
(651) 602-5396
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2157811-00
—
MN
Enumeration date
01/11/2023
Last updated
01/13/2023
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