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Individual

JOSEPH VARGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5801 W 16TH ST, ST LOUIS PARK, MN 55416-1446
(763) 582-9602
Mailing address
1259 BROOKFIELD CT NE, BYRON, MN 55920-1577
(608) 769-3799

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
122833
MN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
122833
MN

Other

Enumeration date
09/22/2017
Last updated
09/18/2022
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