Individual
NANCY WEIRENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1911 S FERRY ST, ANOKA, MN 55303-2143
(763) 576-0388
(763) 576-0732
Mailing address
1911 S FERRY ST, ANOKA, MN 55303-2143
(763) 576-0388
(763) 576-0732
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114397
MN
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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