Individual
LAURA FORTUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
401 PHALEN BLVD, MAIL STOP: 41103F, SAINT PAUL, MN 55130-5302
(651) 254-7600
(651) 254-7623
Mailing address
PO BOX 1309, MAIL STOP: 21111B, MINNEAPOLIS, MN 55440-1309
(952) 883-6807
(985) 853-8829
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120500
MN
Other
Enumeration date
07/29/2011
Last updated
09/27/2011
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