Individual
ELAINE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5801 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-2521
(763) 537-2157
Mailing address
5801 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-2521
(763) 498-4220
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123525
MN
Other
Enumeration date
05/06/2020
Last updated
05/21/2020
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