Individual
DR. LUKE GEORGE BORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3255 VICKSBURG LN N, PLYMOUTH, MN 55447
(763) 253-8917
(763) 253-8932
Mailing address
3255 VICKSBURG LN N, PLYMOUTH, MN 55447
(763) 253-8917
(763) 253-8932
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118662
MN
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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