Individual
ALISON KINGSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
108 S 6TH ST, BRAINERD, MN 56401-3575
(218) 829-0347
Mailing address
108 S 6TH ST, BRAINERD, MN 56401-3575
(218) 829-0347
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
124292
MN
1835P2201X
Ambulatory Care Pharmacist
Primary
124292
MN
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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