NPI 1033458922

Minnesota Independent Cooperative

Organisation Durable Medical Equipment & Medical Supplies Eagan, MN

Practice location

Address: 2980 Commers Dr STE 200, Eagan, MN 55121-2370
Phone: (800) 940-1934

Authorised official

Name: James Russo
Title: Vp of Operations
Phone: (651) 686-5011

Registered specialties (2)

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Minnesota →

Community/Retail Pharmacy

Suppliers Taxonomy 3336C0003X Licence 361687 (MN)

Other Pharmacy providers in Minnesota →

Registry record

NPI: 1033458922
Entity type: Organization
NPI issued: 12 Feb 2013
Record last updated: 12 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.