Individual
MISS MICHELLE ANN LIGHTHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8170 33RD AVE S, BLOOMINGTON, MN 55425
(952) 967-6952
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425
(952) 967-6952
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122257
MN
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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