Individual
STEVEN JOHN SOUKUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7435 179TH ST W, LAKEVILLE, MN 55044-5264
(952) 891-5050
(952) 891-5885
Mailing address
7435 179TH ST W, LAKEVILLE, MN 55044-5264
(952) 891-5050
(952) 891-5885
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114962
MN
Other
Enumeration date
12/13/2020
Last updated
12/13/2020
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