OrganizationActive
Family Healthservices Minnesota, P.A
NPI 1811039050 · Non-Pharmacy Dispensing Site · Saint Paul, MN
Provider details
- NPI number
- 1811039050
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Scott Peterson, Cfo(858) 625-2990
- License
- 32793 (MN)
Specialties & taxonomies
Suppliers
Practice location
3550 Labore Rd
Suite 7
Saint Paul, MN 55110-7505
Phone: (651) 766-0520
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.