Individual
LEAH ANN HEMMINGSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 KAISER AVE N, FOSSTON, MN 56542-1224
(218) 435-1454
Mailing address
107 KAISER AVE N, FOSSTON, MN 56542-1224
(218) 435-1454
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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