MEDICARE: INSTYMEDS CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332900000X	Non-Pharmacy Dispensing Site

General Provider Information

NPI Number	:	1245539832
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSTYMEDS CORPORATION

Provider Business Mailing Address
First Line	:	6501 CITY WEST PKWY
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-3248
Country	:	US
Telephone Number	:	952-653-2525
Fax Number	:

Provider Business Practice Location Address
First Line	:	6501 CITY WEST PKWY
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-3248
Country	:	US
Telephone Number	:	952-653-2525
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BRAD SCHRAUT
Credential	:
Telephone Number	:	952-653-2525

Provider Enumeration Date	:	03/22/2011
Last Update Date	:	03/22/2011

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Directions to “INSTYMEDS CORPORATION ” Practice Location

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