Individual
MR. THOMAS ARNOLD GAYLORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1036 DEVIL TRACK ROAD, GRAND MARAIS, MN 55604-0190
(218) 387-1283
Mailing address
PO BOX 190, GRAND MARAIS, MN 55604-0190
(218) 387-1283
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
110766
MN
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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