Individual
RANDY KUMMERFELDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
606 24TH AVE S, MINNEAPOLIS, MN 55454-1455
(612) 672-7507
Mailing address
606 24TH AVE S, MINNEAPOLIS, MN 55454-1455
(612) 672-7507
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115448-9
MN
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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