Individual
CARLY GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
955 FRONTENAC DR, WINONA, MN 55987-6522
(507) 452-0615
Mailing address
2114 PRAIRIE PL, HOLMEN, WI 54636-2216
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
126279
MN
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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