Integratiavecare Vadnais Heights Llc in Little Canada - Compounding Pharmacy
Integratiavecare Vadnais Heights Llc - NPI 1508052424
Integratiavecare Vadnais Heights Llc is a Compounding Pharmacy in Little Canada, Minnesota. Integratiavecare Vadnais Heights Llc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Integratiavecare Vadnais Heights Llc is 1508052424. The last update date is 2012-05-31.
Integratiavecare Vadnais Heights Llc's current location address is 5 East County Road B, Little Canada, Minnesota. You can contact this provider via phone number 6514892711 and fax number 6512871004. The mailing address for Integratiavecare Vadnais Heights Llc is 5 East County Road B, Little Canada, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Integratiavecare Vadnais Heights Llc |
|---|---|
| Address | 5 East County Road B, Little Canada, Minnesota |
| Phone Number | 6514892711 |
| Fax Number | 6512871004 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ryan Dee |
| Credentials | RPH |
| Telephone Number | 6514892711 |
NPI Number Detail
| NPI Number | 1508052424 |
|---|---|
| Provider Enumeration Date | 2007-09-25 |
| Last Updated Date | 2012-05-31 |
Provider Mailing Address Detail
| Address | 5 East County Road B |
|---|---|
| City | Little Canada |
| State | Minnesota (MN) |
| Post Code | 55117 |
| Phone Number | 6514892711 |
| Fax Number | 6512871004 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
| Licence No | 262061-1 |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
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What is the Integratiavecare Vadnais Heights Llc's 1508052424?
The Integratiavecare Vadnais Heights Llc's NPI (National Provider Identifier) Number is 1508052424. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Integratiavecare Vadnais Heights Llc?
The Integratiavecare Vadnais Heights Llc is physically situated at 5 East County Road B, in the city of Little Canada, state of MN, with the postal code 55117.
What is Integratiavecare Vadnais Heights Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Integratiavecare Vadnais Heights Llc's area of specialization is Compounding Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 3336C0004X.
When did the Integratiavecare Vadnais Heights Llc receive its 1508052424?
The Integratiavecare Vadnais Heights Llc was issued its 1508052424 on 2007-09-25, which is the date when the organization was assigned this unique identifier.
When was the Integratiavecare Vadnais Heights Llc's information last updated?
The Integratiavecare Vadnais Heights Llc's information was last updated on 2012-05-31.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA