Individual
KAILENE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1151 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-6324
(651) 746-2575
Mailing address
3529 109TH LN NE, BLAINE, MN 55449-7703
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
124226
MN
Other
Enumeration date
07/03/2019
Last updated
01/21/2025
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