Individual
MARY JANE ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 HWY 210 W, FERGUS FALLS, MN 56537
(218) 739-5559
(218) 739-3983
Mailing address
11575 BIG ISLAND RD, ASHBY, MN 56309-4598
(218) 205-5310
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115556
MN
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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