Individual
TERRY LEE STORM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
201 HORACE AVE N, THIEF RIVER FALLS, MN 56701-2024
(218) 681-2932
(218) 681-5041
Mailing address
1829 ROBIN HOOD DR, THIEF RIVER FALLS, MN 56701-2625
(218) 681-2932
(218) 681-5041
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115472
MN
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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