Individual
SHEA ALEXA MACIELAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0002
(507) 255-5732
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 255-5732
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03135452
OH
183500000X
Pharmacist
Primary
123825
MN
Other
Enumeration date
08/10/2017
Last updated
05/24/2021
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