Individual
JILL MARIE LYTWYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9850 51ST AVE N, PLYMOUTH, MN 55442-3270
(612) 425-9145
Mailing address
10980 1ST AVE N, PLYMOUTH, MN 55441-4686
(612) 425-9145
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
116397
MN
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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