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Individual

LISA KROHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1415 SAINT FRANCIS AVE, SHAKOPEE, MN 55379-3374
(952) 993-4342
(952) 993-7754
Mailing address
1415 SAINT FRANCIS AVE, SHAKOPEE, MN 55379-3374
(952) 993-4342
(952) 993-7754

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121248
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
121248
MINNESOTA LICENSE NUMBER
MN
Enumeration date
07/03/2013
Last updated
11/19/2014
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