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NPI Code Detail

MEDICARE: MRS. ROBIN BLYTHE HOHENSTERN RPH

MEDICARE: MRS. ROBIN BLYTHE HOHENSTERN RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist116197-7MN

General Provider Information

NPI Number : 1124312442
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROBIN BLYTHE HOHENSTERN RPH
Provider Business Mailing Address
First Line : 7535 W BROADWAY AVE
Second Line : T0693
City : BROOKLYN PARK
State : MN
Zip : 55428-1287
Country : US
Telephone Number : 763-425-5300
Fax Number : 763-425-5300
Provider Business Practice Location Address
First Line : 7535 W BROADWAY AVE
Second Line : T0693
City : BROOKLYN PARK
State : MN
Zip : 55428-1287
Country : US
Telephone Number : 763-425-5300
Fax Number : 763-425-5300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2011
Last Update Date : 06/03/2011

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