Individual
MICHELLE SHORTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6905 YORK AVE S, EDINA, MN 55435-2517
(952) 920-0126
Mailing address
6905 YORK AVE S, EDINA, MN 55435-2517
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118523
MN
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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