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Individual

LINDSEY R SOUTHWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D

Contact information

Practice address
13650 ELDER DR, BAXTER, MN 56425-8818
(218) 855-5755
(218) 855-5741
Mailing address
12153 DALE RD, RICHMOND, MO 64085-8708
(816) 204-1170

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-16403
KS
183500000X
Pharmacist
Primary
121691
MN
183500000X
Pharmacist
2013043624
MO

Other

Enumeration date
06/17/2014
Last updated
06/17/2014
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