IndividualActive
Jay Eidem, PHARMD
NPI 1396905022 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Minneapolis, MN
Provider details
- NPI number
- 1396905022
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 118893 (MN)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
800 E 28th St Ste H2100
Minneapolis, MN 55407
Phone: (612) 863-9134
Fax: (612) 863-3646
Approximate (ZIP-level) locationGet directions
Mailing address
800 E 28th St # 33230
Minneapolis, MN 55407-3723
Registry dates
- Enumerated
- 2008-06-16
- Last updated
- 2018-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.