Individual
MR. EMMANUEL DOUAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
612 4TH AVENUE NW, FARIBAULT, MN 55021
(507) 332-9783
Mailing address
1523 PHEASANTWOOD TRL, NORTHFIELD, MN 55057-3019
(612) 229-8367
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117100
MN
183500000X
Pharmacist
245453
MA
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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