Individual
DAN MACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2357 108TH LN NE, BLAINE, MN 55449-5222
(763) 780-0776
Mailing address
2357 108TH LN NE, BLAINE, MN 55449-5222
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118941
MN
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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