Specializaed Medical, INC
NPI #1245516178 in Farmington, Minnesota
Provider Information
- NPI Number
- 1245516178
- Entity Type
- Organization
- Organization Name
- Specializaed Medical, INC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Oct 24, 2011
- Last Updated
- Oct 24, 2011
Practice Location
- Address
- 19679 CALGARY TRL
- City
- Farmington
- State
- Minnesota
- ZIP Code
- 55024-1488
- Phone
- (612) 720-3824
Authorized Official
- Name
- MR. KIRK EDWARD HANSON
- Title
- CEO
- Phone
- (612) 720-3824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Medical Foods Supplier |
| Non-Pharmacy Dispensing Site |
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