Individual
MRS. JEANNINE MELISSA CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
308 HARVARD STREET SE, CLINIC 1A, MINNEAPOLIS, MN 55455
(612) 626-3004
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MMC 295, MINNEAPOLIS, MN 55455
(612) 626-3004
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
116578-2
MN
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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