Healthcare Provider Details

I. General information

NPI: 1558967794
Provider Name (Legal Business Name): BETHANY MEIER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2020
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 MARKET BLVD
CHANHASSEN MN
55317-4565
US

IV. Provider business mailing address

7900 MARKET BLVD
CHANHASSEN MN
55317
US

V. Phone/Fax

Practice location:
  • Phone: 952-934-2865
  • Fax:
Mailing address:
  • Phone: 906-367-2092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number122470
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: