Individual
TANJA RAE DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1216 2ND ST SW, ROCHESTER, MN 55902
(507) 255-5731
Mailing address
3017 MAYOWOOD COMMON CR SW, ROCHESTER, MN 55902
(507) 285-9120
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116602
MN
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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