Individual
VIRGINIA MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
749 APOLLO DR, LINO LAKES, MN 55014-3035
(651) 784-7618
Mailing address
727 E 24TH ST, MINNEAPOLIS, MN 55404-3849
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120872
MN
Other
Enumeration date
07/15/2012
Last updated
07/15/2012
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