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Provider Information for 1982641346


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

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ALLINA HEALTH SYSTEM

Other Names:  
Doing Business As: 
ALLINA HEALTH APPLE VALLEY PHARMACY

Organization Subpart: NO

NPI: 1982641346
Last Updated: 2023-04-21
Certification Date: 2023-04-21

Details

NameValue
NPI1982641346
Enumeration Date2006-06-02
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: ANN BYRE
Title: President
Phone: 6122625992
Mailing Address PO BOX 43
MAIL ROUTE 10860
MINNEAPOLIS, MN 55440-0043
United States

Phone: 612-262-1166 | Fax:
 
Primary Practice Address 14655 GALAXIE AVE
APPLE VALLEY, MN 55124-8575
United States

Phone: 651-241-3800 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 3336C0002X - Pharmacy - Clinic Pharmacy
Yes 3336C0003X - Pharmacy - Community/Retail PharmacyMN2626550