Individual
JON M SMESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
404 SCHILLING DR N, DUNDAS, MN 55019-3968
(507) 645-5855
(507) 645-9746
Mailing address
404 SCHILLING DR N, PO BOX 100, DUNDAS, MN 55019-3968
(507) 645-5855
(507) 645-9746
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114807
MN
183500000X
Pharmacist
9569
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196217500
—
MN
Enumeration date
04/23/2010
Last updated
04/23/2010
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