Individual
MEGHAN GRONBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 11TH ST S, MOORHEAD, MN 56560-2874
(218) 233-7365
Mailing address
10408 72ND ST S, HORACE, ND 58047-9796
(701) 541-4088
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121260
MN
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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