Individual
JULIE KERSTI DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6540 PENN AVE S, RICHFIELD, MN 55423-1143
(612) 866-3040
(612) 866-3050
Mailing address
1239 JEFFERSON AVE, SAINT PAUL, MN 55105-2808
(651) 485-7624
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117904
MN
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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