Individual
AUDREY BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10 5TH ST SE, COOK, MN 55723-9702
(218) 666-6229
(218) 666-6249
Mailing address
10 5TH ST SE, COOK, MN 55723-9702
(218) 666-6229
(218) 666-6249
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116902
MN
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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