Individual
TINA GRAPENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 ADAMS ST, T-0663, MANKATO, MN 56001-4864
(952) 201-2516
Mailing address
1850 ADAMS ST, T-0663, MANKATO, MN 56001-4864
(507) 625-9009
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116488
MN
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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