Individual
SAMANTHA RENFRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, PHARMD
Contact information
Practice address
2021 MARKET DR, STILLWATER, MN 55082-7546
(651) 439-0992
Mailing address
10205 GREENBRIER RD APT 304, MINNETONKA, MN 55305-3424
(952) 356-7395
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
20188-40
WI
183500000X
Pharmacist
Primary
214616
MN
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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