OrganizationActive
Family Healthservices Minnesota, P.A
NPI 1366584526 · Non-Pharmacy Dispensing Site · Saint Paul, MN
Provider details
- NPI number
- 1366584526
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx,
- Organization subpart
- Yes
- Authorized official
- Scott Peterson, Cfo(858) 625-2990
- License
- 27058 (MN)
Specialties & taxonomies
Suppliers
Practice location
1540 Randolph Ave
Saint Paul, MN 55105-2535
Phone: (651) 699-8333
Approximate (ZIP-level) locationGet directions
Mailing address
9276 Scranton Rd
San Diego, CA 92121-7701
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2017-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.