Individual
SALLY BITTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18275 KENRICK AVE, LAKEVILLE, MN 55044-7306
(952) 892-5454
Mailing address
1825 SOUTHCROSS DR W APT 2301, BURNSVILLE, MN 55306-7976
(612) 801-3387
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124088
MN
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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