Individual
KELLI POMERENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 VANDALIA ST, SAINT PAUL, MN 55114-1833
(844) 532-3546
Mailing address
10650 MARMON ST NE, CIRCLE PINES, MN 55014-1547
(612) 384-4411
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
728552
MN
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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