Individual
ANASTASIYA SHTULMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
11330 FOUNTAINS DR, MAPLE GROVE, MN 55369-7200
(763) 494-8059
(763) 494-8056
Mailing address
11330 FOUNTAINS DR, MAPLE GROVE, MN 55369-7200
(763) 494-8059
(763) 494-8056
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120148
MN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
120148
MN
Other
Enumeration date
09/26/2011
Last updated
08/15/2022
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