Individual
JEFFREY FAHRENBRUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
500 HARVARD ST SE, SUITE 3-017, MINNEAPOLIS, MN 55455-0363
(612) 273-2121
Mailing address
500 HARVARD ST SE, SUITE 3-017, MINNEAPOLIS, MN 55455-0363
(612) 273-2121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117864-8
MN
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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