MEDICARE: ELDON KARWAND R.PH.

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
1	1835G0303X	Geriatric Pharmacist	12979	WI
2	1835G0303X	Geriatric Pharmacist	113791	MN

General Provider Information

NPI Number	:	1629661756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELDON KARWAND R.PH.

Provider Business Mailing Address
First Line	:	9850 51ST AVE N STE 102
Second Line	:
City	:	PLYMOUTH
State	:	MN
Zip	:	55442-3271
Country	:	US
Telephone Number	:	763-251-6920
Fax Number	:	763-251-6928

Provider Business Practice Location Address
First Line	:	9850 51ST AVE N STE 102
Second Line	:
City	:	PLYMOUTH
State	:	MN
Zip	:	55442-3271
Country	:	US
Telephone Number	:	763-251-6920
Fax Number	:	763-251-6928

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2021
Last Update Date	:	02/19/2021

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Directions to “ ELDON KARWAND R.PH.” Practice Location

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