Individual
REBECCA MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
623 MAIN ST, RED WING, MN 55066-2249
(651) 388-3589
Mailing address
623 MAIN ST, RED WING, MN 55066-2249
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122125
MN
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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