Individual
KERRY L CLOSE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
600 W 98TH ST, BLOOMINGTON, MN 55420-4773
(952) 885-6098
Mailing address
4721 WESTMINSTER CIR, EAGAN, MN 55122-2756
(651) 452-5959
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
113456-4
MN
Other
Enumeration date
08/10/2005
Last updated
07/08/2007
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