Individual
ANDREA HOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
707 HIGHWAY 33 S, SUITE 12, CLOQUET, MN 55720-2696
(218) 879-6768
Mailing address
707 HIGHWAY 33 S, SUITE 12, CLOQUET, MN 55720-2696
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121953
MN
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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