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Individual

DR. MATTHEW JAMES JUST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
6055 NATHAN LN N STE 200, PLYMOUTH, MN 55442-1675
(763) 513-4300
Mailing address
232 W RAINBOW ST, DULUTH, MN 55811-2006
(651) 600-0835

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120959
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
120959
STATE PHARMACIST LICENSE ID
MN
Enumeration date
07/30/2013
Last updated
07/30/2013
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