Individual
DANA JAMES PENKIVECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
15250 CEDAR AVE, APPLE VALLEY, MN 55124-7017
(952) 432-5557
Mailing address
6975 YORK AVE S, EDINA, MN 55435-2517
(952) 920-3561
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120488
MN
Other
Enumeration date
10/19/2011
Last updated
12/19/2022
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