Individual
GEORGIA ROXANNE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
345 SMITH AVE N, SAINT PAUL, MN 55102-2346
(651) 220-6944
Mailing address
345 SMITH AVE N, SAINT PAUL, MN 55102-2346
(651) 220-6944
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123493
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123493
PHARMACIST LICENSE
MN
Enumeration date
11/16/2017
Last updated
11/16/2017
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