| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ZACHARY RYAN BORGEN | 1063016939 | 2020-11-22 |
Zachary Ryan Borgen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1063016939. Registration indicates Zachary Ryan Borgen is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Dr. Zachary Ryan Borgen PHARMD, MS, RPH |
| Practice Office Address | 15800 87TH ST NE OTSEGO, MN US |
| Practice Office Telephone | 7632521316 |
| Practice Office Fax | 7632521326 |
| Mailing Address | 1771 HANSACK AVE NE SAINT MICHAEL, MN 553769306 US |
| Business Telephone | 7622342597 |
| Secure fax machine [Manually/electronically faxed information] | 763-252-1362 | Health Information Exchange (HIE) |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 124763
MN |