Individual
MS. DANITA MARIE PRIMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 255-5670
(320) 255-5793
Mailing address
205 10TH ST N, SARTELL, MN 56377-1459
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1169908
MN
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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