Individual
VALERIE HALVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
2410 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-2503
(218) 326-9089
(218) 326-9525
Mailing address
43935 FORESTRY RD, BOVEY, MN 55709-5527
(218) 327-9527
(218) 326-9525
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116120
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116120
PHARMACIST LICENSE NUMBER
MN
Enumeration date
04/20/2007
Last updated
07/08/2007
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