Individual
CAROLYN MAI DER XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1852 131ST LN NW, COON RAPIDS, MN 55448-1385
(763) 754-6732
(763) 754-6179
Mailing address
1852 131ST LN NW, COON RAPIDS, MN 55448-1385
(763) 754-6732
(763) 754-6179
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123025
MN
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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