Individual
JULIA PROKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1540 NEW BRIGHTON BLVD, MINNEAPOLIS, MN 55413-1653
(612) 789-0342
(612) 789-0347
Mailing address
1540 NEW BRIGHTON BLVD, MINNEAPOLIS, MN 55413-1653
(612) 789-0342
(612) 789-0347
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122822
MN
Other
Enumeration date
12/13/2020
Last updated
12/13/2020
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