Provider Demographics
NPI:1275839805
Name:HER, BEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BEE
Middle Name:
Last Name:HER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1239 PAYNE AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55130-3538
Mailing Address - Country:US
Mailing Address - Phone:651-493-2104
Mailing Address - Fax:651-493-3286
Practice Address - Street 1:1239 PAYNE AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55130-3538
Practice Address - Country:US
Practice Address - Phone:651-493-2104
Practice Address - Fax:651-493-3286
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-29
Last Update Date:2011-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN119889183500000X
NV17271183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist