Individual
DEREK DOUGLAS BORKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
2610 CENTRAL AVE NE, MINNEAPOLIS, MN 55418-2911
(612) 789-6251
Mailing address
10 2ND ST SE UNIT 215, MINNEAPOLIS, MN 55414-4477
(507) 429-3707
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123851
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123851
PHARMACIST LICENSE
MN
Enumeration date
09/06/2018
Last updated
09/06/2018
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