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Individual

MARY JO VIERKANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD, MED, BS

Contact information

Practice address
3300 OAKDALE AVENUE NORTH, NORTH MEMORIAL MEDICAL CENTER PHARMACY, ROBBINSDALE, MN 55422
(763) 520-5200
(763) 520-4926
Mailing address
3300 OAKDALE AVENUE NORTH, NORTH MEMORIAL MEDICAL CENTER PHARMACY, ROBBINSDALE, MN 55422
(763) 520-4926

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
120058
MN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
120058
MN

Other

Enumeration date
08/13/2010
Last updated
11/29/2011
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