Individual
COREY TODD MALSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
21 W HIGHWAY 61, GRAND MARAIS, MN 55604-4401
(218) 387-1133
(218) 387-2169
Mailing address
133 SUMMIT ST APT 337, DULUTH, MN 55803-4523
(218) 387-1133
(844) 674-6737
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122710
MN
Other
Enumeration date
06/27/2016
Last updated
02/26/2019
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