Healthcare Provider Details

I. General information

NPI: 1376588574
Provider Name (Legal Business Name): MEDSAVE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 06/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4461 WINNETKA AVE N
NEW HOPE MN
55428-4928
US

IV. Provider business mailing address

4461 WINNETKA AVE N
NEW HOPE MN
55428-4928
US

V. Phone/Fax

Practice location:
  • Phone: 763-252-0094
  • Fax: 763-252-0098
Mailing address:
  • Phone: 763-252-0094
  • Fax: 763-252-0098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2623951
License Number StateMN

VIII. Authorized Official

Name: SEAN KACSIR
Title or Position: CEO PRESIDENT
Credential:
Phone: 763-300-7155