Individual
KATHERINE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 19TH AVE SE, WILLMAR, MN 56201-5499
(320) 231-3313
Mailing address
700 19TH AVE SE, WILLMAR, MN 56201-5499
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120127
MN
183500000X
Pharmacist
25668
NC
183500000X
Pharmacist
5789
SD
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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