Healthcare Provider Details

I. General information

NPI: 1316956527
Provider Name (Legal Business Name): CHRISTIANE BLANK KNAUS PHARMD RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 01/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1583 HAMLINE AVE N
FALCON HEIGHTS MN
55108-2139
US

IV. Provider business mailing address

4600 PENN AVE N
MINNEAPOLIS MN
55412-1135
US

V. Phone/Fax

Practice location:
  • Phone: 651-646-9645
  • Fax: 651-632-2164
Mailing address:
  • Phone: 612-521-7323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number18958
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20152
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: