Individual
ALYSSA DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
246 57TH AVE NE, FRIDLEY, MN 55432-5420
(763) 586-9150
(763) 586-9184
Mailing address
246 57TH AVE NE, FRIDLEY, MN 55432-5420
(763) 586-9150
(763) 586-9184
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123924
MN
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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