Organization
CVS CAREMARK MINUTECLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY DUMAINE-PICARD (CREDENTIALING COORDINATOR)
(401) 770-9323
Entity
Organization
Contact information
Practice address
15051 GALAXIE AVE, APPLE VALLEY, MN 55124-6987
(952) 432-3535
Mailing address
3345 HARRIET AVE # 4, MINNEAPOLIS, MN 55408-3729
(612) 702-0890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014010271
MN
Other
Enumeration date
09/21/2014
Last updated
09/21/2014
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