Individual
MATTHEW PAUL LILLYBLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
701 PARK AVE, HCMC INPATIENT PHARMACY- RED LOWER LEVEL, MINNEAPOLIS, MN 55415-1623
(612) 873-4523
(612) 904-4286
Mailing address
701 PARK AVE, HCMC INPATIENT PHARMACY- RED LOWER LEVEL, MINNEAPOLIS, MN 55415-1623
(612) 873-4523
(612) 904-4286
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120017
MN
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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