Individual
MARISSA SANOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
202 S 2ND AVE, VIRGINIA, MN 55792-2614
(218) 749-6333
Mailing address
202 S 2ND AVE, VIRGINIA, MN 55792-2614
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124412
MN
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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