Organization
HEALTHEAST CARE SYSTEM
Active
Other names
HealthEast Home Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ANNE VANDEYACHT PHARMD (PHARMACY OPERATIONS MANAGER)
(651) 232-5536
Entity
Organization
Contact information
Practice address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104
(651) 232-5797
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104
(651) 232-5797
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
261456
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413993300 IV
—
MN
05
—
433673900
—
MN
Enumeration date
03/30/2016
Last updated
04/06/2016
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