Individual
MRS. REGINA GROTHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2855 CAMPUS DR, 180, PLYMOUTH, MN 55441-2649
(763) 577-7007
(763) 577-7196
Mailing address
6715 E FISH LAKE RD, MAPLE GROVE, MN 55369-5405
(763) 425-7447
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115919
MN
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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