Individual
JOHN LEE DU PRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4950 COUNTY ROAD 101, MINNETONKA, MN 55345-2637
(952) 938-3566
Mailing address
18525 COUNTY ROAD 24, PLYMOUTH, MN 55447-1051
(952) 594-2170
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122648
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122648
MNBOP
MN
Enumeration date
09/11/2020
Last updated
09/11/2020
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