Organization
HEALTHEAST CARE SYSTEM
Active
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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