Organization
MEDSTAT
Active
Parent organization
MEDSTAT
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDSTAT
Authorized official
KRISTY MUSIC (DIRECTOR PROVIDER ENROLLMENT)
(877) 892-9815
Entity
Organization
Contact information
Practice address
1500 PROVIDENT DR, WARSAW, IN 46580-3291
(952) 653-2528
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
06/05/2008
Last updated
01/24/2024
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