Individual
MR. PAUL RICHARD EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
323 JACKSON AVE NW, ELK RIVER, MN 55330-2523
(763) 441-1353
Mailing address
18586 224TH AVE NW, BIG LAKE, MN 55309-4672
(763) 262-0999
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115008
MN
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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