Deephaven Phcy INC

NPI #1043439359 in Wayzata, Minnesota

Provider Information

NPI Number
1043439359
Entity Type
Organization
Organization Name
Deephaven Phcy INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Apr 25, 2007
Last Updated
Sep 12, 2007

Practice Location

Address
3428 COUNTY ROAD 101 S
ZIP Code
55391-3421
Phone
(952) 473-4100

Authorized Official

Name
MARK LARSON
Title
PRES
Phone
(952) 473-4100

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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