Individual
AVNI A NOVOTNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2199 HIGHWAY 36 E, SAINT PAUL, MN 55109-2215
(651) 779-6341
(651) 234-4734
Mailing address
2199 HIGHWAY 36 E, SAINT PAUL, MN 55109-2215
(651) 779-6341
(651) 234-4734
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119474
MN
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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