Individual
JAMIE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1221 W LAKE ST STE 200, MINNEAPOLIS, MN 55408-3565
(612) 824-1036
Mailing address
1221 W LAKE ST STE 200, MINNEAPOLIS, MN 55408-3565
(612) 824-1036
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121317
MN
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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