Individual
KELLY RENAE MAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
150 10TH ST NW, MILACA, MN 56353-1737
(320) 983-7400
Mailing address
150 10TH ST NW, MILACA, MN 56353-1737
(320) 983-7400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119739
MN
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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