Individual
SHELBY MALMANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
17 DIVISION ST, WAITE PARK, MN 56387-1349
(320) 203-1035
Mailing address
2550 QUARRY RD NE APT 308, SAUK RAPIDS, MN 56379-0028
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125324
MN
Other
Enumeration date
08/14/2021
Last updated
08/14/2021
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