Individual
MS. JENIFER MARIE EKERN WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1175 NININGER RD, HASTINGS, MN 55033-1056
(651) 480-4263
(651) 480-4266
Mailing address
1175 NININGER RD, HASTINGS, MN 55033-1056
(651) 480-4263
(651) 480-4266
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
114170
MN
Other
Enumeration date
06/01/2010
Last updated
06/01/2010
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