Individual
TATYANA GRINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 W COUNTY ROAD 42, SAVAGE, MN 55378-2193
(952) 226-1283
Mailing address
15216 FAIRWAY HEIGHTS RD NW, PRIOR LAKE, MN 55372-3600
(195) 220-0486
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116931
MN
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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