Organization
GILLETTE CHILDREN'S SPECIALTY HEALTHCARE
Active
Other names
Gillette Children's Specialty Healthcare MTM
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA HARTZLER (MANAGER)
(651) 325-2209
Entity
Organization
Contact information
Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 726-2890
(651) 726-2848
Mailing address
200 UNIVERSITY AVE E # 455105, SAINT PAUL, MN 55101-2507
(651) 325-2209
(651) 325-2221
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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