Individual
JODI-RAE M IKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 726-2890
Mailing address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 726-2890
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115933
MN
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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