State of Minnesota-Minnesota Management and Budget
NPI #1295025864 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1295025864
- Entity Type
- Organization
- Organization Name
- State of Minnesota-Minnesota Management and Budget
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 15, 2011
- Last Updated
- Mar 19, 2019
Practice Location
- Address
- 5101 MINNEHAHA AVE
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55417-1647
- Phone
- (612) 548-5957
Authorized Official
- Name
- MARY ELIZABETH JOHNSON
- Title
- CENTRAL PHARMACY, PHARMACIST SENIOR
- Phone
- (612) 548-5962
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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