Organization
CHILDREN'S HEALTH CARE
Active
Other names
CHILDRENS HOME CARE 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
2525 CHICAGO AVENUE SOUTH, MINNEAPOLIS, MN 55404-4518
(612) 813-7206
(612) 813-7207
Mailing address
PO BOX 860112, MINNEAPOLIS, MN 55486-0112
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
262015
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048228
PK
—
Enumeration date
02/14/2007
Last updated
10/31/2022
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