Individual
KAITLIN ROSE MART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1440 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4012
(651) 646-8858
(651) 646-9699
Mailing address
1440 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4012
(651) 646-8858
(651) 646-9699
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123023
MN
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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