Individual
MR. KENT L REDLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2785 IVY LN NE, BEMIDJI, MN 56601-5305
(218) 444-9889
Mailing address
2785 IVY LN NE, BEMIDJI, MN 56601-5305
(218) 444-9889
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115338-3
MN
183500000X
Pharmacist
16182-040
WI
183500000X
Pharmacist
3947
ND
183500000X
Pharmacist
R4623
SD
Other
Enumeration date
02/07/2006
Last updated
12/15/2011
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