Individual
MADISSON PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2001 NICOLLET AVE, MINNEAPOLIS, MN 55404-2527
(612) 872-2656
(612) 872-8301
Mailing address
2001 NICOLLET AVE, MINNEAPOLIS, MN 55404-2527
(612) 872-2656
(612) 872-8301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123487
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043497993
—
MN
Enumeration date
05/17/2020
Last updated
05/17/2020
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