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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARYPAT HABERMAS, PHARM D, CGP

Active Sole Proprietor

DR. MARYPAT HABERMAS, PHARM D, CGP is a Pharmacist Clinician (PhC) healthcare provider located in BLOOMINGTON, Minnesota. NPI 1609905686 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · BLOOMINGTON, MN

Registration Details

NPI Number
1609905686
Provider Type
Individual
Gender
Female
NPI Issued
Mar 5, 2007 (19.257185635984 yrs)
Last Updated
Aug 21, 2018
Licenses
116619 (MN)
116619 (MN)
Sole Proprietor
Yes

Practice Information

Address
7349 BUSH LAKE DR
BLOOMINGTON, MN, 55438
Browse MN providers · Browse ZIP 55438
Phone
6512141026
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
Additional Specialty
Pharmacist Clinician (PhC)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.