Individual
JOEL LUITJENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
599 2ND AVE N, WINDOM, MN 56101-1927
(507) 831-4161
(507) 831-4289
Mailing address
599 2ND AVE N, WINDOM, MN 56101-1927
(507) 831-4161
(507) 831-4289
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114383
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114383
STATE LICENSE
MN
Enumeration date
07/09/2015
Last updated
07/09/2015
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