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Individual

LAURA RUNSTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
809 SOUTHVIEW CT W # 2, MARSHALL, MN 56258-3105
(231) 649-2806
Mailing address
809 SOUTHVIEW CT W, #2, MARSHALL, MN 56258-3105

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
121550
MN
183500000X
Pharmacist
Primary
5302039398
MI

Other

Enumeration date
02/20/2014
Last updated
02/20/2014
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