Individual
GARY SLETTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1623 WINDIGO LN, SHAKOPEE, MN 55379-3550
(952) 303-9345
Mailing address
1623 WINDIGO LN, SHAKOPEE, MN 55379-3550
(952) 303-9345
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114880
MN
Other
Enumeration date
12/06/2020
Last updated
12/06/2020
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