Individual
MR. MARK DAVID WERMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4200 WINNETKA AVE, NEW HOPE, MN 55428
(763) 545-6466
Mailing address
11340 47TH AVE N, PLYMOUTH, MN 55442-2904
(763) 550-1872
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115179
MN
183500000X
Pharmacist
S008141
AZ
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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