Individual
GLENN RAPHAEL PIERSKALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2323 HIGHWAY 3 S, TARGET # 1211, NORTHFIELD, MN 55057-5172
(507) 403-4014
Mailing address
2323 HIGHWAY 3 S, TARGET # 1211, NORTHFIELD, MN 55057-5172
(507) 403-4014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
111990
MN
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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