Individual
KRISTEN VAN VLEET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 E LAKE STREET, TARGET PHARMACY, T-0052, MINNEAPOLIS, MN 55406
(612) 721-1611
Mailing address
2500 E LAKE STREET, TARGET PHARMACY, T-0052, MINNEAPOLIS, MN 55406
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120622
MN
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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