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Individual

LAURA HOGAN EVENRUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM. D.

Contact information

Practice address
12011 TECHNOLOGY DR, EDEN PRAIRIE, MN 55344-3620
(952) 943-4828
(952) 943-4825
Mailing address
12011 TECHNOLOGY DR, EDEN PRAIRIE, MN 55344-3620
(952) 943-4828
(952) 943-4825

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117482
MN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
117482
MN

Other

Enumeration date
09/24/2011
Last updated
08/10/2022
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