Individual
CHAITANYA NEKKANTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 COUNTY ROAD 42 W, BURNSVILLE, MN 55337-4428
(952) 892-7777
Mailing address
1848 WESTCHESTER LN, SHAKOPEE, MN 55379-4566
(952) 402-0316
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119147
MN
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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