Individual
ASHISH VARTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
721 WINDMILL CT, EAGAN, MN 55123-1675
(612) 327-7630
Mailing address
721 WINDMILL CT, EAGAN, MN 55123-1675
(612) 327-7630
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122518
MN
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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