Individual
COREY PISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
8150 WEDGEWOOD LN N, MAPLE GROVE, MN 55369-9400
(763) 494-8355
(763) 494-8358
Mailing address
5800 AMERICAN BLVD W APT 452, BLOOMINGTON, MN 55437-1486
(763) 438-8921
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123769
MN
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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