Individual
TODD PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 1ST ST S, WILLMAR, MN 56201-4212
(320) 235-1930
Mailing address
5708 109TH AVE NE, SPICER, MN 56288-9455
(320) 979-4094
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116716
MN
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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