Individual
DR. JUSTIN HIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2600 65TH AVE, OSCEOLA, WI 54020-4370
(715) 294-4050
Mailing address
5974 FERNWOOD ST, SHOREVIEW, MN 55126-8462
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
123154
MN
183500000X
Pharmacist
19203-40
WI
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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