Individual
RYAN ALTENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
6150 EGAN DR, SAVAGE, MN 55378-2699
(952) 228-2552
Mailing address
7165 165TH ST E, PRIOR LAKE, MN 55372-9321
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123288
MN
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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