Healthcare Provider Details

I. General information

NPI: 1700704376
Provider Name (Legal Business Name): DELANEY HART PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E 28TH ST
MINNEAPOLIS MN
55407-3799
US

IV. Provider business mailing address

9420 CEDAR FOREST RD
EDEN PRAIRIE MN
55347-3705
US

V. Phone/Fax

Practice location:
  • Phone: 612-863-5072
  • Fax:
Mailing address:
  • Phone: 218-348-1659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835I0206X
TaxonomyInfectious Diseases Pharmacist
License Number124256
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: