Individual
MR. SEAN MCLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
8015 DEN RD, EDEN PRAIRIE, MN 55344-4537
(952) 941-6728
Mailing address
5505 ORLEANS LN N APT 7, PLYMOUTH, MN 55442-1982
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119997
MN
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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