Individual
KATHLEEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1615 QUEENS DR, WOODBURY, MN 55125-1559
(651) 731-4778
(651) 731-0416
Mailing address
1615 QUEENS DR, WOODBURY, MN 55125-1559
(651) 731-4778
(651) 731-0416
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118717
MN
Other
Enumeration date
08/27/2011
Last updated
08/27/2011
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