White Bear Health Mart Pharmacy LLC
NPI #1639474612 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1639474612
- Entity Type
- Organization
- Organization Name
- White Bear Health Mart Pharmacy LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jan 21, 2011
- Last Updated
- May 7, 2011
Practice Location
- Address
- 2008 COUNTY ROAD E E
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-7333
- Phone
- (651) 289-4300
Authorized Official
- Name
- DR. JOSEPH NORMAN JORGENSON, PHARM.D.
- Title
- PHARMACIST IN CHARGE
- Phone
- (651) 289-4300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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