NPI Code Details Logo

NPI 1609970664

NPI 1609970664 : MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH : ROCHESTER, MN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1609970664
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/12/2006
-----------------------------------------------------
    Last Update Date     |    08/20/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3551 COMMERCIAL DR SW 
-----------------------------------------------------
    City                 |    ROCHESTER
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    55902-2883
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    507-284-2021
-----------------------------------------------------
    Fax                  |    507-538-1314
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 860135 
-----------------------------------------------------
    City                 |    MINNEAPOLIS
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    55486-0135
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    507-284-3390
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DIRECTOR
-----------------------------------------------------
    Name                 |    MS. ANDREA K SWANSON 
-----------------------------------------------------
    Credential           |    R.PH.
-----------------------------------------------------
    Telephone            |    507-538-1680
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    3336C0002X
-----------------------------------------------------
    Taxonomy Name        |    Clinic Pharmacy
-----------------------------------------------------
    License Number       |    260408
-----------------------------------------------------
    License Number State |    MN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    3336M0002X
-----------------------------------------------------
    Taxonomy Name        |    Mail Order Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    3336S0011X
-----------------------------------------------------
    Taxonomy Name        |    Specialty Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    3336C0003X
-----------------------------------------------------
    Taxonomy Name        |    Community/Retail Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.