Individual
KRISTA SOUTHWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1106 HOBART ST, HAWLEY, MN 56549-4000
(218) 486-4663
Mailing address
1106 HOBART ST, HAWLEY, MN 56549-4000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123612
MN
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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