MINNESOTA ONCOLOGY HEMATOLOGY PA
1580 Beam Ave
Maplewood, MN 55109
651-255-8480
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | ||
Y | 3336C0002X | Suppliers - Pharmacy | MN | 261921 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2047904 | OTHER | |
215781100 | MN | MEDICAID | |
33234600 | WI | MEDICAID |