Individual
CATHERINE WAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4656 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-4938
(952) 929-0140
Mailing address
19130 LAKE AVE, WAYZATA, MN 55391-3066
(612) 386-6237
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118436
MN
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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