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Individual

RUTH NYAKUNDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7835 150TH ST W, APPLE VALLEY, MN 55124-7181
(952) 431-9703
Mailing address
7835 150TH ST W, APPLE VALLEY, MN 55124-7181

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122751
MN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RP0009363
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
122751
LICENSE
MN
Enumeration date
08/27/2015
Last updated
03/17/2018
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