Individual
MS. MARY E HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
345 SMITH AVE N, SAINT PAUL, MN 55102-2346
(651) 220-6962
Mailing address
2594 ALABAMA AVE S, ST LOUIS PARK, MN 55416-1786
(952) 928-9036
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114935-5
MN
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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