| White Bear Health Mart | |
|
2008 County Road E E White Bear Lake MN 55110-7333 | |
| (651) 289-4300 | |
| (651) 289-4301 |
| Full Name | White Bear Health Mart |
|---|---|
| Speciality | Clinic/center |
| Location | 2008 County Road E E, White Bear Lake, Minnesota |
| Authorized Official Name and Position | Joseph Norman Jorgenson (PHARMACIST IN CHARGE) |
| Authorized Official Contact | 6512894300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Bear Health Mart 2008 County Road E E White Bear Lake MN 55110-7333 Ph: (651) 289-4300 | White Bear Health Mart 2008 County Road E E White Bear Lake MN 55110-7333 Ph: (651) 289-4300 |
| NPI Number | 1639474612 |
|---|---|
| Provider Enumeration Date | 01/21/2011 |
| Last Update Date | 05/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639474612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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