Most Relevant Information
Provider Data
NPI Number: | 1003242595 |
Provider Name: | GERALD J BAHE RPH |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | 112761 |
Most Important Dates
Enumeration Date: | 09/17/2013 |
Last Updated: | 09/17/2013 |
Provider Practice Location
10 W LAKE ST
MINNEAPOLIS
MN
554083116
Practice Location Phone/Fax
Phone: | 6128275309 |
Fax: | 6128276833 |
Provider Mailing Location
10 W LAKE ST
MINNEAPOLIS
MN
554083116
Provider Mailing Phone/Fax
Phone: | 6128275309 |
Fax: | 6128276833 |