Individual
KENREA JOHANNE PERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1734 MALL DR, DULUTH, MN 55811-3839
(218) 727-3477
(218) 727-2839
Mailing address
5338 ROOSEVELT DR, HERMANTOWN, MN 55811-3678
(218) 729-4772
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116649
MN
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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