Healthcare Provider Details

I. General information

NPI: 1184541112
Provider Name (Legal Business Name): HATICE GAGNE PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6363 FRANCE AVE S STE 610
EDINA MN
55435-2144
US

IV. Provider business mailing address

16409 HIDDEN VALLEY RD
MINNETONKA MN
55345-1822
US

V. Phone/Fax

Practice location:
  • Phone: 952-924-1474
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number120091
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: