Minnesota Independent Cooperative

NPI #1033458922 in Eagan, Minnesota

Provider Information

NPI Number
1033458922
Entity Type
Organization
Organization Name
Minnesota Independent Cooperative
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Feb 12, 2013
Last Updated
Feb 12, 2013

Practice Location

Address
2980 COMMERS DR STE 200
City
Eagan
ZIP Code
55121-2370
Phone
(800) 940-1934

Authorized Official

Name
JAMES RUSSO
Title
VP OF OPERATIONS
Phone
(651) 686-5011

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Durable Medical Equipment & Medical Supplies

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