NPI | 1245241884 |
---|---|
Doing Business As | MAGELLAN RX PHARMACY |
Entity Type | Organization |
Authorized Contact | ANDREW GLOVER VP & Gm Specialty Pharmacy Dist 612-777-4940 |
Organization Subpart ? | No |
Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: FL PH19541) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-08-10 |
Last Update Date | 2024-09-30 |