Individual
MRS. ALISA BROOKE GRISMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
15800 95TH AVE N, PARK NICOLLET, MAPLE GROVE, MN 55369-4400
(952) 993-1414
(952) 993-1389
Mailing address
15800 95TH AVE N, PARK NICOLLET, MAPLE GROVE, MN 55369-4400
(952) 993-1414
(952) 993-1389
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117219
MN
Other
Enumeration date
04/12/2008
Last updated
07/26/2013
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