Healthcare Provider Details

I. General information

NPI: 1487203881
Provider Name (Legal Business Name): JELENA ZLATKOVIC LINDOR CLINICAL PHARMACIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2019
Last Update Date: 09/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 VETERANS DR
MINNEAPOLIS MN
55417-2309
US

IV. Provider business mailing address

1 VETERANS DR
MINNEAPOLIS MN
55417-2309
US

V. Phone/Fax

Practice location:
  • Phone: 507-213-3268
  • Fax:
Mailing address:
  • Phone: 507-213-3268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number120287
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: