Individual
GANNA KREVECHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
513 5TH AVE W, GRAND MARAIS, MN 55604-3017
(218) 877-8277
(218) 877-8279
Mailing address
513 5TH AVE W, GRAND MARAIS, MN 55604-3017
(218) 877-8277
(218) 877-8279
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125029
MN
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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