Individual
KELLY BELAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8101 OLD CARRIAGE CT, SHAKOPEE, MN 55379-3155
(952) 445-8058
Mailing address
8101 OLD CARRIAGE CT, SHAKOPEE, MN 55379-3155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117773
MN
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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