Individual
KEN L HENJUM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1299 PROMENADE PL, EAGAN, MN 55121-2293
(651) 209-2974
(651) 209-2979
Mailing address
12722 DOVER DR, APPLE VALLEY, MN 55124-8652
(952) 393-5962
(651) 209-2979
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
110878-1
MN
Other
Enumeration date
12/19/2005
Last updated
07/08/2007
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