Individual
MARY FOSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
221 KENNEDY MEMORIAL DR, HOYT LAKES, MN 55750-1141
(218) 225-2128
Mailing address
305 VIKING DR, HOYT LAKES, MN 55750-1103
(218) 780-9680
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115077
MN
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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