Individual
AMY KUKACKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
449 COMMERCE DR, WOODBURY, MN 55125-4872
(651) 239-1875
Mailing address
449 COMMERCE DR, WOODBURY, MN 55125-4872
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1549772
MN
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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