| NPI | 1245241884 |
|---|---|
| Former Legal Business Name | 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 | 2025-04-11 |