Provider Information for 1982641346
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ALLINA HEALTH SYSTEM
Other Names:Doing Business As:ALLINA HEALTH APPLE VALLEY PHARMACYOrganization Subpart: NO
NPI: 1982641346
Last Updated: 2023-04-21
Certification Date: 2023-04-21
Certification Date: 2023-04-21
Details
Name | Value | ||||||||||||
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NPI | 1982641346 | ||||||||||||
Enumeration Date | 2006-06-02 | ||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||
Status | Active | ||||||||||||
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: | ||||||||||||
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