Organization
EXPRESS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LEACH (MEDICAL DIRECTOR)
(952) 653-2528
Entity
Organization
Contact information
Practice address
10190 BALTIMORE ST NE, 110, BLAINE, MN 55449-5056
(952) 653-2528
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
(952) 653-2528
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
11/28/2006
Last updated
08/22/2020
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