Individual
SANDRA JEAN GEORGESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
13020 RIVERDALE DR NW, COON RAPIDS, MN 55448-1057
(763) 421-5717
(763) 421-6418
Mailing address
13020 RIVERDALE DR NW, COON RAPIDS, MN 55448-1057
(763) 421-5717
(763) 421-6418
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116033
MN
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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