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Individual

MS. LEIGH A SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH

Contact information

Practice address
1313 PENN AVE NORTH, MINNEAPOLIS, MN 55411
(612) 302-4661
(612) 302-4663
Mailing address
1313 PENN AVE NORTH, MINNEAPOLIS, MN 55411
(612) 302-4661
(612) 302-4663

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
112699-6
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
112699-6
MN BOARD OF PHARMACY LIC
MN
Enumeration date
12/12/2006
Last updated
07/08/2007
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